Inadvertent triple globe penetration during peribulbar anesthesia
Inadvertent globe perforation following peribulbar anesthesia can lead to unpleasant experiences if not identified early and managed appropriately. We present the case of a 75-year-old female who came with decreased vision in the left eye (LE) following cataract surgery under peribulbar block. Her v...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2024;volume=17;issue=1;spage=117;epage=119;aulast=Poornachandra |
| _version_ | 1797246035451445248 |
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| author | B Poornachandra Prathiba Hande Sherina Thomas Rohit Shetty Ananth Bhandary |
| author_facet | B Poornachandra Prathiba Hande Sherina Thomas Rohit Shetty Ananth Bhandary |
| author_sort | B Poornachandra |
| collection | DOAJ |
| description | Inadvertent globe perforation following peribulbar anesthesia can lead to unpleasant experiences if not identified early and managed appropriately. We present the case of a 75-year-old female who came with decreased vision in the left eye (LE) following cataract surgery under peribulbar block. Her visual acuity in the right eye (RE) was 6/24 and LE was 6/75. Fundus examination of LE showed vitreous hemorrhage with localized subretinal hemorrhage along the inferotemporal arcade suggestive of globe perforation. Optical coherence tomography (OCT, Spectralis. Heidelberg imaging, Germany) scan across the perforation site showed subretinal hemorrhage and full-thickness retinal tear. On follow-up, two more focal points of retinal whitening were noted in the inferotemporal equatorial region. The patient was kept under close monitoring, and 4 weeks later, vision improved to 6/9 and barrage laser was done around the perforation sites. Serial OCT scans and close follow-up in iatrogenic globe perforation can result in good visual outcomes. |
| first_indexed | 2024-04-24T19:36:24Z |
| format | Article |
| id | doaj.art-732340afaf264a868294f8d6c34e3575 |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-04-24T19:36:24Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-732340afaf264a868294f8d6c34e35752024-03-25T13:03:37ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2024-01-0117111711910.4103/ojo.ojo_38_22Inadvertent triple globe penetration during peribulbar anesthesiaB PoornachandraPrathiba HandeSherina ThomasRohit ShettyAnanth BhandaryInadvertent globe perforation following peribulbar anesthesia can lead to unpleasant experiences if not identified early and managed appropriately. We present the case of a 75-year-old female who came with decreased vision in the left eye (LE) following cataract surgery under peribulbar block. Her visual acuity in the right eye (RE) was 6/24 and LE was 6/75. Fundus examination of LE showed vitreous hemorrhage with localized subretinal hemorrhage along the inferotemporal arcade suggestive of globe perforation. Optical coherence tomography (OCT, Spectralis. Heidelberg imaging, Germany) scan across the perforation site showed subretinal hemorrhage and full-thickness retinal tear. On follow-up, two more focal points of retinal whitening were noted in the inferotemporal equatorial region. The patient was kept under close monitoring, and 4 weeks later, vision improved to 6/9 and barrage laser was done around the perforation sites. Serial OCT scans and close follow-up in iatrogenic globe perforation can result in good visual outcomes.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2024;volume=17;issue=1;spage=117;epage=119;aulast=Poornachandraglobe perforationoptical coherence tomographyperibulbar anesthesia |
| spellingShingle | B Poornachandra Prathiba Hande Sherina Thomas Rohit Shetty Ananth Bhandary Inadvertent triple globe penetration during peribulbar anesthesia Oman Journal of Ophthalmology globe perforation optical coherence tomography peribulbar anesthesia |
| title | Inadvertent triple globe penetration during peribulbar anesthesia |
| title_full | Inadvertent triple globe penetration during peribulbar anesthesia |
| title_fullStr | Inadvertent triple globe penetration during peribulbar anesthesia |
| title_full_unstemmed | Inadvertent triple globe penetration during peribulbar anesthesia |
| title_short | Inadvertent triple globe penetration during peribulbar anesthesia |
| title_sort | inadvertent triple globe penetration during peribulbar anesthesia |
| topic | globe perforation optical coherence tomography peribulbar anesthesia |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2024;volume=17;issue=1;spage=117;epage=119;aulast=Poornachandra |
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