| Autor: |
Trejo Corona, Stephanie, Parvus, Matthew N., Fan, Kenneth C., Patel, Sagar B., Lane, R. Gary, Flynn, Harry W., Wykoff, Charles C. |
| Zdroj: |
Journal of VitreoRetinal Diseases; 20240101, Issue: Preprints |
| 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. |
| Databáze: |
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