Open-Globe Injury With Globe Penetration Leading to Complex Retinal Detachment After Intraoral Anesthetic Injection.

Autor:	Trejo Corona S; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA., Parvus MN; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA., Fan KC; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.; Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA., Patel SB; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.; Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA., Lane RG; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA., Flynn HW Jr; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Health System, Miami, FL, USA., Wykoff CC; Retina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.; Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.
Jazyk:	angličtina
Zdroj:	Journal of vitreoretinal diseases [J Vitreoretin Dis] 2024 May 09; Vol. 8 (4), pp. 480-484. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024).
DOI:	10.1177/24741264241251599
Abstrakt:	Purpose: To report a case of a suspected open-globe injury and globe penetration complicated by a rhegmatogenous retinal detachment (RRD) after administration of intraoral anesthetic injections during an endodontic procedure. Methods: A retrospective chart review was performed. Results: A 34-year-old woman presented with acute onset of flashes, floaters, and a curtain-like shadow across her field of vision. Four days previously, she had multiple left-sided anesthetic injections during an endodontic procedure. The visual acuity (VA) in the left eye was 20/25. Ophthalmoscopy showed a suspected globe-penetration site inferiorly, associated multilayered hemorrhages, and adjacent subretinal fluid. Laser demarcation of the inferior RRD was performed at sequential clinical visits. Through 8 months, the multilayered hemorrhages improved while proliferative vitreoretinopathy-associated tissue formation over the posterior pole caused macular distortion and mild visual deterioration. The VA in the left eye was 20/40 at the last follow-up. Conclusions : Iatrogenic globe penetration during intraoral anesthesia delivery associated with an endodontic procedure may result in globe injury. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu