Document Detail

Severe visual loss caused by ocular perforation during chalazion removal.
MedLine Citation:
PMID:  14700679     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report two cases of ocular perforation during chalazion removal procedures leading to severe vision loss. DESIGN: Observational case series. METHODS: Two patients presented with unilateral decreased vision after chalazion removal procedures. Complete ophthalmologic examinations were performed. RESULTS: Examination revealed a cherry red spot and perforation site in the first patient. In the second patient, there was an intraocular gas bubble and ischemic retina. CONCLUSIONS: Local anesthetic injections for procedures such as chalazia removal can result in ocular perforation. We postulate that the intraocular injections led to extremely high pressures, compromising the blood supply to the retina and optic nerve. Anesthetic injections for all procedures, even chalazia removal, should be done with great caution. It is imperative to avoid injection if ocular perforation is suspected, as the high pressure may cause the majority of the visual morbidity.
Kevin M Shiramizu; Allan E Kreiger; Colin A McCannel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  137     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-31     Completed Date:  2004-01-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  204-5     Citation Subset:  AIM; IM    
Department of Ophthalmology, Jules Stein Eye Institute, UCLA Geffen School of Medicine, Los Angeles, California 90095, USA.
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MeSH Terms
Anesthetics, Local / adverse effects*
Blindness / etiology*
Chalazion / surgery*
Eye Injuries, Penetrating / etiology
Injections / adverse effects*
Middle Aged
Needlestick Injuries / etiology*
Retina / injuries*
Retinal Perforations / etiology*
Sclera / injuries
Vitreous Hemorrhage / etiology
Reg. No./Substance:
0/Anesthetics, Local

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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