Buccal fat pad hemorrhage after retrobulbar injection.
OBJECTIVE
To enable ophthalmologists to recognize and manage buccal fat pad hemorrhage occurring after retrobulbar injection.


METHODS
Interventional case report.


METHODS
A 52-year-old woman with proliferative diabetic retinopathy underwent left retrobulbar injection before panretinal photocoagulation (PRP).


RESULTS
Immediately after PRP, the patient complained of left cheek swelling. Ocular examination was unremarkable. Computed tomographic imaging studies confirmed the clinical diagnosis of hemorrhage within the buccal fat pad. No hemorrhage was found within the retrobulbar space. The hemorrhage resolved spontaneously without sequelae.


CONCLUSIONS
This case widens the known spectrum of hemorrhagic complications after retrobulbar injection.
Kuchtey
Rachel
R
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Perry
Julian D
JD
Lerner
Leonid
L
D000273:Adipose Tissue / Q000000981:diagnostic imaging / Q000473:pathology*; D000772:Anesthesia, Local / Q000009:adverse effects*; D002610:Cheek / Q000000981:diagnostic imaging / Q000293:injuries*; D003930:Diabetic Retinopathy / Q000601:surgery; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007267:Injections; D017075:Laser Coagulation; D008875:Middle Aged; D009061:Mouth Mucosa; D016602:Needlestick Injuries / Q000209:etiology*; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed