[Accidental perforation of the globe during peribulbar injection].
OBJECTIVE
To evaluate clinical manifestations, management, visual outcome and prevention of accidental penetration of the globe during peribulbar injection.


METHODS
The medical records of 12 cases were retrospectively reviewed. The disposable needle was used in all the cases except one to whom a reusable needle was applied. Lidocaine was injected in 2 cases, steroid or steroid combined with antibiotics was injected in the remaining ones.


RESULTS
The main symptoms were acute loss of visual acuity (VA) and pain in the involved eye. The signs included vitreous hemorrhage, white steroid material in the vitreous cavity, retinal break and detachment, high intraocular pressure or hypotony and rupture of cataract surgical wound. The treatments consisted of vitrectomy, the repair of retinal detachment or ruptured cataract surgical wound. Six cases ended with VA < or = 0.05.


CONCLUSIONS
Inadvertent intraocular perforation during peribulbar injection is a serious complication. The best method to rescue such cases is prevention.
Wang
W
W
Department of Ophthalmology, Eye and ENT Hospital, Shanghai Medical University, Shanghai 200031, China.
D000328:Adult; D000368:Aged; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D012163:Retinal Detachment / Q000209:etiology; D012167:Retinal Perforations / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity