Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage
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, hemorrhagi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=95;epage=97;aulast=Al-Shehri |
| _version_ | 1819109725746233344 |
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| author | Abdulaziz Al-Shehri Ayman Al-Ghamdi Abdulmohsen Al-Shehri Adel Alakeely |
| author_facet | Abdulaziz Al-Shehri Ayman Al-Ghamdi Abdulmohsen Al-Shehri Adel Alakeely |
| author_sort | Abdulaziz Al-Shehri |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T03:30:24Z |
| format | Article |
| id | doaj.art-275b95f2a3b8407e994e4badadbcef1e |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-12-22T03:30:24Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-275b95f2a3b8407e994e4badadbcef1e2022-12-21T18:40:30ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2020-01-01132959710.4103/ojo.OJO_208_2019Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhageAbdulaziz Al-ShehriAyman Al-GhamdiAbdulmohsen Al-ShehriAdel AlakeelyA 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.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=95;epage=97;aulast=Al-Shehriglobe perforationperibulbar anesthesiasubmacular hemorrhage |
| spellingShingle | Abdulaziz Al-Shehri Ayman Al-Ghamdi Abdulmohsen Al-Shehri Adel Alakeely Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage Oman Journal of Ophthalmology globe perforation peribulbar anesthesia submacular hemorrhage |
| title | Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| title_full | Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| title_fullStr | Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| title_full_unstemmed | Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| title_short | Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| title_sort | management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage |
| topic | globe perforation peribulbar anesthesia submacular hemorrhage |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=95;epage=97;aulast=Al-Shehri |
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