Dai Y, Sun T, Gong JF. Inadvertent globe penetration during retrobulbar anesthesia: A case report . World J Clin Cases 2021; 9(8): 2001-2007 [PMID: 33748253 DOI: 10.12998/wjcc.v9.i8.2001]
Corresponding Author of This Article
Tao Sun, MM, Chief Doctor, Surgeon, Department of Ophthalmology, The Fourth Affiliated Hospital of Nantong University/The First People’s Hospital of Yancheng, No. 10 Nancheng River Road, Yancheng 224000, Jiangsu Province, China. suntao_13003@163.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 16, 2021; 9(8): 2001-2007 Published online Mar 16, 2021. doi: 10.12998/wjcc.v9.i8.2001
Inadvertent globe penetration during retrobulbar anesthesia: A case report
Ying Dai, Tao Sun, Jun-Fang Gong
Ying Dai, Tao Sun, Jun-Fang Gong, Department of Ophthalmology, The Fourth Affiliated Hospital of Nantong University/The First People’s Hospital of Yancheng, Yancheng 224000, Jiangsu Province, China
Author contributions: Sun T collected the data of the case and performed vitreoretinal surgery; Dai Y and Sun T drafted the manuscript; Gong JF reviewed the manuscript and provided constructive input; All authors read and approved final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Sun, MM, Chief Doctor, Surgeon, Department of Ophthalmology, The Fourth Affiliated Hospital of Nantong University/The First People’s Hospital of Yancheng, No. 10 Nancheng River Road, Yancheng 224000, Jiangsu Province, China. suntao_13003@163.com
Received: November 25, 2020 Peer-review started: November 26, 2020 First decision: December 24, 2020 Revised: January 2, 2021 Accepted: January 21, 2021 Article in press: January 21, 2021 Published online: March 16, 2021 Processing time: 100 Days and 3.2 Hours
Abstract
BACKGROUND
To report the possible reasons for needle perforation and complications related to perforation, as well as the clinical management of subretinal hemorrhage (SRH) during retrobulbar injection.
CASE SUMMARY
A 65-year-old female was scheduled to undergo pars plana vitrectomy (PPV) in her left eye for rhegmatogenous retinal detachment (RRD). During retrobulbar anesthesia, needle perforation of the globe occurred. Massive SRH in the inferotemporal quadrant together with vitreous hemorrhage were observed. The patient underwent PPV combined with retinotomy for removal of the massive SRH. After earlier surgical intervention, successful reattachment of the retina was achieved.
CONCLUSION
Inadvertent globe penetration during retrobulbar anesthesia is associated with a poor prognosis and may result in blindness. Timely detection and earlier intervention may be beneficial.
Core Tip: Inadvertent globe penetration during retrobulbar anesthesia is an uncommon and serious complication. We present a case of needle perforation of the globe during retrobulbar injection. We discuss the results of our literature search for evidence related to reasons for needle perforation and complications related to perforation, as well as the clinical management of subretinal hemorrhage, in an effort to encourage ophthalmologists to pay more attention to this sight-threatening complication. If iatrogenic perforations occur, timely detection and earlier intervention may be beneficial for prognosis.
