Video Presentation

A case of undiagnosed ocular perforation of diprospan during parabulbar injection: Good result after delayed vitrectomy

Video Details

First Author: T.Imshenetskaya BELARUS

Co Author(s):    V. Yarmak   H. Vashkevich   V. Markevich   A. Dvalishvili                    

Abstract Details



Purpose:

To report our case of iatrogenic ocular perforation occurring during Diprospan injection.

Setting:

Belarusian medical academy of postgraduate education

Methods:

A 62 year-old women was referred to our hospital with subconjunctival hemorrhage,changes in vitreous humor with white colour movable conglomerate, because of this masses it was unable to visualize retina in central and paracentral regions. Past medical history: 4 days ago patient underwent Diprospan injection in parabulbar region of the right eye because of keratoconjuctivitis. After injection patient noticed sudden deterioration of visual acuity to 20/100 and severe pain,before injection visual acuity was 20/20. According ambulance doctor the cause of decresed vision was vitreous hemorrhage,due to patients diabetes.

Results:

Pars plana vitrectomy with laser photocoagulation was successfully performed . After removing diprospan from vitreous cavity we can visualize retinal hemorrhage according the place of iatrogenic ocular perforation .Visual acuity after surgical treatment was 20/30, and after month 20/20.

Conclusions:

Our clinical case demonstrates unrecognized iatrogenic ocular perforation without acute complications and with successful result after delayed pars plana vitrectomy. We will recommend ophthalmologists to be careful during and after parabulbar injections because of high risk of iatrogenic undiagnosed perforation.

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