Dikci Seyhan, Yılmaz Turgut, Gök Zarife Ekici, Demirel Soner, Genç Oğuzhan
Department of Ophthalmology, İnönü University Turgut Özal Medical Center, Malatya, Turkey.
Oman J Ophthalmol. 2017 Jan-Apr;10(1):44-46. doi: 10.4103/0974-620X.200695.
Retrobulbar anesthesia is still used before ocular surgery; however, it has various complications including ocular penetration. The penetration/perforation of the globe can cause complications such as endophthalmitis, retinal detachment, and scotoma. Choroidal neovascularization (CNV) is rarely seen, following choroidal rupture in penetrating eye injuries. Here, we present a patient who underwent a pars plana vitrectomy for vitreous hemorrhage secondary to ocular penetration during a retrobulbar injection for cataract surgery. This patient later developed CNV at the penetration site during follow-up. Physicians should remember that CNV can occur as an unusual late complication of ocular penetration during retrobulbar anesthesia.
球后麻醉目前仍用于眼科手术；然而，它有包括眼球穿通在内的多种并发症。眼球的穿通/穿孔可导致诸如眼内炎、视网膜脱离和暗点等并发症。脉络膜新生血管（CNV）在穿透性眼外伤导致脉络膜破裂后很少见。在此，我们报告一名患者，其在白内障手术球后注射时因眼球穿通继发玻璃体出血而接受了玻璃体切割术。该患者在随访期间于穿通部位出现了CNV。医生应记住，CNV可作为球后麻醉期间眼球穿通的一种罕见迟发性并发症出现。
