Inadvertent globe penetration during retrobulbar anesthesia:A case report

• 作者: Ying Dai Tao Sun Jun-Fang Gong
• 来源期刊: 世界临床病例杂志
• 学科: 医学
• 关键词: Needle perforation Globe penetration Retrobulbar anesthesia Subretinal hemorrhage Pars plana vitrectomy Retinotomy Case report
• 年，卷（期）: sjlcblzz_2021,（8）
• 页码范围: 2001-2007
• 页数: 7页
• 分类号: R61

摘要

BACKGROUND To report the possible reasons for needle perforation and complications related to perforation,as well as the clinical management of subretinal hemorrhage(SRH)during retrobulbar injection.CASE SUMMARY A 65-year-old female was scheduled to undergo pars plana vitrectomy(PPV)in her left eye for rhegmatogenous retinal detachment(RRD).During retrobulbar anesthesia,needle perforation of the globe occurred.Massive SRH in the inferotemporal quadrant together with vitreous hemorrhage were observed.The patient underwent PPV combined with retinotomy for removal of the massive SRH.After earlier surgical intervention,successful reattachment of the retina was achieved.CONCLUSION Inadvertent globe penetration during retrobulbar anesthesia is associated with a poor prognosis and may result in blindness.Timely detection and earlier intervention may be beneficial.