Inadvertent globe penetration during retrobulbar anesthesia: A case report

Figure 1 Fundus photography and optical coherence tomography obtained before surgery. A: Before surgery, dilated fundus examination showed rhegmatogenous retinal detachment extending over two quadrants and macula-off detachment in the left eye. Retinal breaks at 4 and 7 o’ clock on the globe’s equator were noted; B and C: Optical coherence tomography showed macula-off detachment in the left eye.

Figure 2 Fundus photography and optical coherence tomography obtained on the third postoperative day. A: On the third postoperative day, fundus photography revealed the re-attached retina, the position of needle entry (white arrow), endo-laser spots, and minor hemorrhage; B and C: Optical coherence tomography revealed a small amount of fluid between the neuroepithelial layer of the retina and the retina pigment epithelium.

Figure 3 Fundus photography and optical coherence tomography obtained 4 wk postoperatively. A: Fundus examination revealed the flat retina and disappearance of the minor hemorrhage; B and C: Optical coherence tomography revealed that the structure of the macula had returned to normal. A scar (white arrow) was observed in the retinal pigment epithelium layer on the temporal side of the macula.