Iatrogenic eye perforation in para- and retrobulbar injections

Klinische Monatsblätter für Augenheilkunde
P BergH J Küchle

Abstract

The authors report on 5 cases of inadvertent iatrogenic perforation of the globe in the course of retrobulbar and parabulbar injections. Perforation occurred twice by injection of the drug into the eyeball itself (subretinally or intravitreally), while in 3 cases a double perforation occurred, as a result of which the drug penetrated behind the eye. The prognosis is better in the latter case. Even though perforation of the globe during parabulbar and retrobulbar injections is extremely rare, it must always be considered if there is a sudden deterioration in vision and/or severe pain immediately after the injection; depending on the situation, retinal and/or vitreous surgery must then be performed at once.

Citations

Apr 21, 2011·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H-K Krause
May 29, 2013·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·A Simmenroth-NaydaN Feltgen
Sep 1, 1995·Journal of Cataract and Refractive Surgery·K J Rosenthal
Jan 1, 1997·Strabismus·R W Berger, W Haase
Feb 19, 1998·American Journal of Ophthalmology·A J MuellerW R Freeman

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