Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage | Zendy

Abdulaziz Mohammed Alshehri | Zendy; Ayman Al-Ghamdi | Zendy; Abdulmohsen Ali Alshehri | Zendy; Adel Alakeely | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage

Author(s) -

Abdulaziz Mohammed Alshehri,

Ayman Al-Ghamdi,

Abdulmohsen Ali Alshehri,

Adel Alakeely

Publication year - 2020

Publication title -

oman journal of ophthalmology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.306

H-Index - 16

eISSN - 0974-7842

pISSN - 0974-620X

DOI - 10.4103/ojo.ojo_208_2019

Subject(s) - medicine , pars plana , vitrectomy , tamponade , visual acuity , retinal detachment , ophthalmology , phacoemulsification , cataract surgery , surgery , retinal , anesthesia

A patient with an amblyopia and poor vision in the fellow eye experienced iatrogenic globe perforation during peribulbar anesthesia for cataract surgery. The injection and surgery were immediately aborted. Visual acuity was hand motion, and retinal examination revealed retinal detachment, hemorrhagic choroidal detachment, and submacular hemorrhage. These were initially managed medically until the hemorrhagic choroidal detachment resolved and afterward by combined phacoemulsification with pars plana vitrectomy, subretinal recombinant tissue plasminogen activator, and gas tamponade. Two weeks post operative, the patient achieved the best-corrected visual acuity of around 20/200, which after 1 year of follow-up improved to 20/70.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research