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OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 8  |  Page : 1194

Retinal incarceration in the needle perforation track


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication23-Jul-2018

Correspondence Address:
Dr. Vinod Kumar
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_517_18

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How to cite this article:
Kumar V, Gupta PN, Christy MC, Azad SV. Retinal incarceration in the needle perforation track. Indian J Ophthalmol 2018;66:1194

How to cite this URL:
Kumar V, Gupta PN, Christy MC, Azad SV. Retinal incarceration in the needle perforation track. Indian J Ophthalmol [serial online] 2018 [cited 2020 May 24];66:1194. Available from: http://www.ijo.in/text.asp?2018/66/8/1194/237339



A 60-year-old female was referred due to floaters in her right eye after uneventful cataract surgery performed 2 weeks ago. The patient had reported severe pain during peribulbar injection. A perforation site was seen along superotemporal vascular arcade on multi-color scanning laser and infrared reflectance imaging arrow, [Figure 1]a and [Figure 1]b. Fluorescein angiography showed localized nonperfusion [Figure 1]c. Optical coherence tomography showed incarceration of retinal layers and obliteration of choroidal vessels at the perforation site arrow, [Figure 1]d. Vitreous hemorrhage, the cause of floaters, was seen on color photograph and optical coherence tomography arrowheads, [Figure 1]a and [Figure 1]d. Ocular perforation during the peribulbar block is a potentially sight-threatening complication.[1] In some cases, the damage may be limited, especially if the drug is not injected into the eye. Retinal incarceration in the present case probably occurred at the time of withdrawal of needle and prevented further retinal detachment.
Figure 1: Multi-modal imaging of retinal incarceration in the needle perforation track

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The authors present imaging features of retinal incarceration in a needle perforation track following peribulbar anesthesia.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Gillow JT, Aggarwal RK, Kirkby GR. Ocular perforation during peribulbar anaesthesia. Eye (Lond) 1996;10:533-6.  Back to cited text no. 1
    


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