• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

球后麻醉期间意外眼球穿通：一例报告。

Inadvertent globe penetration during retrobulbar anesthesia: A case report.

作者信息

Dai Ying, Sun Tao, Gong Jun-Fang

机构信息

Department of Ophthalmology, The Fourth Affiliated Hospital of Nantong University/The First People's Hospital of Yancheng, Yancheng 224000, Jiangsu Province, China.

出版信息

World J Clin Cases. 2021 Mar 16;9(8):2001-2007. doi: 10.12998/wjcc.v9.i8.2001.

DOI:10.12998/wjcc.v9.i8.2001
PMID:33748253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7953384/
Abstract

BACKGROUND

To report the possible reasons for needle perforation and complications related to perforation, as well as the clinical management of subretinal hemorrhage (SRH) during retrobulbar injection.

CASE SUMMARY

A 65-year-old female was scheduled to undergo pars plana vitrectomy (PPV) in her left eye for rhegmatogenous retinal detachment (RRD). During retrobulbar anesthesia, needle perforation of the globe occurred. Massive SRH in the inferotemporal quadrant together with vitreous hemorrhage were observed. The patient underwent PPV combined with retinotomy for removal of the massive SRH. After earlier surgical intervention, successful reattachment of the retina was achieved.

CONCLUSION

Inadvertent globe penetration during retrobulbar anesthesia is associated with a poor prognosis and may result in blindness. Timely detection and earlier intervention may be beneficial.

摘要

背景

报告球后注射时针头穿孔的可能原因及与穿孔相关的并发症，以及视网膜下出血（SRH）的临床处理。

病例摘要

一名65岁女性计划在左眼行玻璃体切割术（PPV）治疗孔源性视网膜脱离（RRD）。在球后麻醉期间，发生了眼球的针头穿孔。观察到颞下象限出现大量SRH并伴有玻璃体积血。患者接受了PPV联合视网膜切开术以清除大量SRH。经过早期手术干预，视网膜成功复位。

结论

球后麻醉期间意外的眼球穿透与预后不良相关，可能导致失明。及时发现和早期干预可能有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/0372ee9f5bd3/WJCC-9-2001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/7205e2f8759a/WJCC-9-2001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/d326daa7d4cc/WJCC-9-2001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/0372ee9f5bd3/WJCC-9-2001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/7205e2f8759a/WJCC-9-2001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/d326daa7d4cc/WJCC-9-2001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c8/7953384/0372ee9f5bd3/WJCC-9-2001-g003.jpg

相似文献

1
Inadvertent globe penetration during retrobulbar anesthesia: A case report.球后麻醉期间意外眼球穿通：一例报告。
World J Clin Cases. 2021 Mar 16;9(8):2001-2007. doi: 10.12998/wjcc.v9.i8.2001.
2
Choroidal neovascularization secondary to ocular penetration during retrobulbar anesthesia and its treatment.球后麻醉期间眼穿透继发脉络膜新生血管形成及其治疗
Oman J Ophthalmol. 2017 Jan-Apr;10(1):44-46. doi: 10.4103/0974-620X.200695.
3
Repair of Rhegmatogenous Retinal Detachment Following Globe Perforation by Retrobulbar Anesthesia.球后麻醉下眼球穿孔后孔源性视网膜脱离的修复
Ophthalmic Surg Lasers Imaging Retina. 2020 Apr 1;51(4):249-251. doi: 10.3928/23258160-20200326-08.
4
Intraoperative B-scan ultrasonography and pars plana vitrectomy for severe open globe injury with hemorrhagic retinal and choroidal detachment.术中B超检查及玻璃体切除术治疗伴有视网膜和脉络膜出血性脱离的严重开放性眼球损伤
Graefes Arch Clin Exp Ophthalmol. 2017 Nov;255(11):2287-2291. doi: 10.1007/s00417-017-3771-1. Epub 2017 Aug 30.
5
Optic Nerve Injury, Vitreous Hemorrhage, and Rhegmatogenous Retinal Detachment Following Long Needle Peribulbar Anesthesia: A Case Report and Review of the Literature.长针球周麻醉后发生视神经损伤、玻璃体积血和孔源性视网膜脱离：1例病例报告及文献复习
Cureus. 2022 Nov 10;14(11):e31329. doi: 10.7759/cureus.31329. eCollection 2022 Nov.
6
Pain during pars plana vitrectomy following sub-Tenon versus peribulbar anesthesia: A randomized trial.经颞浅筋膜下和球后麻醉行睫状体平坦部玻璃体切除术后的疼痛：一项随机试验。
PLoS One. 2020 Aug 6;15(8):e0236624. doi: 10.1371/journal.pone.0236624. eCollection 2020.
7
Inadvertent globe perforation during retrobulbar injection in high myopes.高度近视患者球后注射时意外眼球穿孔
Int Ophthalmol. 1997;21(4):179-85. doi: 10.1023/a:1005965924392.
8
MASSIVE SUBRETINAL GAS AFTER VITRECTOMY SURGERY: MECHANISM AND MANAGEMENT.玻璃体切除术后大量视网膜下气体：机制与处理
Retin Cases Brief Rep. 2019;13(3):266-268. doi: 10.1097/ICB.0000000000000576.
9
Vitreoretinal surgery after inadvertent globe penetration during local ocular anesthesia.局部眼部麻醉期间意外眼球穿通后的玻璃体视网膜手术。
Ophthalmology. 1998 Feb;105(2):371-6. doi: 10.1016/s0161-6420(98)93640-5.
10
Displacement of crystalline lens into the sub-conjunctival space following periocular anesthesia.眼周麻醉后晶状体移位至结膜下间隙。
Saudi J Ophthalmol. 2018 Jul-Sep;32(3):257-260. doi: 10.1016/j.sjopt.2017.12.004. Epub 2018 Jan 11.

引用本文的文献

1
Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review.超声乳化术中脉络膜上腔出血的处理：全面综述。
Medicina (Kaunas). 2023 Mar 15;59(3):583. doi: 10.3390/medicina59030583.

本文引用的文献

1
Real-time ultrasound-guided retrobulbar block vs blind technique for cataract surgery (pilot study).实时超声引导下球后阻滞与白内障手术盲法技术对比（初步研究）
Local Reg Anesth. 2018 Dec 6;11:123-128. doi: 10.2147/LRA.S178771. eCollection 2018.
2
Management of inadvertent needle penetration resulting in subretinal triamcinolone acetonide and retinal detachment.意外针刺导致视网膜下曲安奈德及视网膜脱离的处理
Am J Ophthalmol Case Rep. 2018 Apr 19;10:288-289. doi: 10.1016/j.ajoc.2018.04.010. eCollection 2018 Jun.
3
Subretinal hemorrhage.
视网膜下出血。
Dev Ophthalmol. 2014;54:213-22. doi: 10.1159/000360469. Epub 2014 Aug 26.
4
Effects of intravitreal ropivacaine on retinal thickness and integrity in the guinea pig.玻璃体内注射罗哌卡因对豚鼠视网膜厚度及完整性的影响。
Curr Ther Res Clin Exp. 2005 Jul;66(4):394-400. doi: 10.1016/j.curtheres.2005.08.005.
5
Risks and sequelae of scleral perforation during peribulbar or retrobulbar anesthesia.球周或球后麻醉时巩膜穿孔的风险和后遗症。
J Cataract Refract Surg. 2010 Jun;36(6):885-9. doi: 10.1016/j.jcrs.2009.12.029.
6
Endophthalmitis due to inadvertent globe penetration during retrobulbar injection of saline solution for laser in situ keratomileusis.在为准分子原位角膜磨镶术进行球后注射生理盐水时因意外眼球穿通导致的眼内炎。
J Cataract Refract Surg. 2009 Jun;35(6):1132-3. doi: 10.1016/j.jcrs.2009.01.032.
7
Evaluation of 19 cases of inadvertent globe perforation due to periocular injections.19例眼周注射致意外眼球穿孔的评估。
Indian J Ophthalmol. 2007 Mar-Apr;55(2):103-7. doi: 10.4103/0301-4738.30702.
8
Inadvertent ocular perforation and intravitreal injection of an anesthetic agent during retrobulbar injection.球后注射时意外发生眼内穿孔并向玻璃体内注射了麻醉剂。
J Cataract Refract Surg. 2002 Mar;28(3):562-5. doi: 10.1016/s0886-3350(01)01075-6.
9
The Effect of Intraocular Lidocaine in White Rabbit Eyes.眼内利多卡因对白兔眼睛的影响。
Jpn J Ophthalmol. 2000 Sep 1;44(5):569. doi: 10.1016/s0021-5155(00)00237-9.
10
Toxicity of intraocular lidocaine and bupivacaine.眼内利多卡因和布比卡因的毒性
Am J Ophthalmol. 1998 Feb;125(2):191-6. doi: 10.1016/s0002-9394(99)80091-9.