Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Core Tip

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.