| Severe visual loss caused by ocular perforation during chalazion removal. | |
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MedLine Citation:
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PMID: 14700679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kevin M Shiramizu; Allan E Kreiger; Colin A McCannel |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of ophthalmology Volume: 137 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2003-12-31 Completed Date: 2004-01-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 204-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Ophthalmology, Jules Stein Eye Institute, UCLA Geffen School of Medicine, Los Angeles, California 90095, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anesthetics, Local / adverse effects* Blindness / etiology* Chalazion / surgery* Eye Injuries, Penetrating / etiology Female Humans Injections / adverse effects* Middle Aged Needlestick Injuries / etiology* Retina / injuries* Retinal Perforations / etiology* Sclera / injuries Vitreous Hemorrhage / etiology |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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