|Year : 2018 | Volume
| Issue : 8 | Page : 1194
Retinal incarceration in the needle perforation track
Vinod Kumar, Prasad N Gupta, Marem C Christy, Shorya V Azad
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
|Date of Web Publication||23-Jul-2018|
Dr. Vinod Kumar
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
Source of Support: None, Conflict of Interest: None
|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. 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.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Gillow JT, Aggarwal RK, Kirkby GR. Ocular perforation during peribulbar anaesthesia. Eye (Lond) 1996;10:533-6.