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CASE REPORT
Year : 2020  |  Volume : 13  |  Issue : 2  |  Page : 95-97

Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage


1 Vitreoretinal Divison, King Khaled Eye Specialist Hospital, Riyadh; Department of Ophthalmology, Taif University, Makkah, Taif, Saudi Arabia
2 Vitreoretinal Divison, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
3 Department of Ophthalmology, Taif University, Makkah, Taif, Saudi Arabia

Correspondence Address:
Abdulaziz Al-Shehri
Vitreo Retina Unit, P O B: 7191, King Khaled Eye Specialist Hospital, Riyadh 11462
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_208_2019

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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.


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