Posterior segment injury developed after injection of anesthetics on eyelids with needleless jet injection device.

Lee, JE ; Choi, HY ; et al.

In: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, Jg. 245 (2007), Heft 1, S. 173-5

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Background: Though a needleless jet injection device (NJI device) has advantages over a conventional needle attached syringe for injecting anesthetics, safety of using it for lid surgery is not proved. We report a case of posterior segment injury suspected caused by a NJI device.

Methods: A 47-year-old woman presented with decreased visual acuity after regional anesthesia at the lower eyelids with a NJI device.

Results: Vitreous and subretinal hemorrhage was found associated with retinal edema adjacent to the optic disc of the right eye and around the inferior temporal arcade of the left eye. Fluorescein angiography revealed choroidal rupture in the both eyes. By 2 months, although the hemorrhage resolved, subretinal fibrosis and chorioretinal atrophy developed. Her vision decreased to 20/60 in the right eye and 20/40 in the left eye.

Conclusion: The energy generated by the NJI device seemed to have reached the eyeballs to cause the blunt-typed posterior segment injuries. As choroidal rupture may result in a permanent visual loss, the risks associated the off-labeled use of the device for lid surgeries should be awakened.

Titel:	Posterior segment injury developed after injection of anesthetics on eyelids with needleless jet injection device.
Autor/in / Beteiligte Person:	Lee, JE ; Choi, HY ; Lee, JS ; Oum, BS
Link:	Zum Volltext
Zeitschrift:	Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, Jg. 245 (2007), Heft 1, S. 173-5
Veröffentlichung:	Berlin ; New York : Springer-Verlag, c1982-, 2007
Medientyp:	academicJournal
ISSN:	0721-832X (print)
DOI:	10.1007/s00417-006-0309-3
Schlagwort:	Anesthetics, Local administration & dosage Eye Injuries diagnosis Eyelids drug effects Female Fluorescein Angiography Humans Middle Aged Retinal Hemorrhage diagnosis Retinal Hemorrhage etiology Rupture Vision Disorders diagnosis Vision Disorders etiology Vitreous Hemorrhage diagnosis Vitreous Hemorrhage etiology Wounds, Nonpenetrating diagnosis Anesthesia, Local instrumentation Choroid injuries Eye Injuries etiology Injections, Jet adverse effects Wounds, Nonpenetrating etiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Case Reports; Journal Article Language: English [Graefes Arch Clin Exp Ophthalmol] 2007 Jan; Vol. 245 (1), pp. 173-5. <i>Date of Electronic Publication: </i>2006 Apr 22. MeSH Terms: Anesthesia, Local / instrumentation ; Choroid / injuries ; Eye Injuries / etiology ; Injections, Jet / adverse effects ; Wounds, Nonpenetrating / *etiology ; Anesthetics, Local / administration & dosage ; Eye Injuries / diagnosis ; Eyelids / drug effects ; Female ; Fluorescein Angiography ; Humans ; Middle Aged ; Retinal Hemorrhage / diagnosis ; Retinal Hemorrhage / etiology ; Rupture ; Vision Disorders / diagnosis ; Vision Disorders / etiology ; Vitreous Hemorrhage / diagnosis ; Vitreous Hemorrhage / etiology ; Wounds, Nonpenetrating / diagnosis References: J Trauma. 1979 Apr;19(4):283-4. (PMID: 439186) ; Br J Ophthalmol. 1990 Apr;74(4):208-11. (PMID: 2337545) ; J Oral Maxillofac Surg. 1998 Nov;56(11):1249-54. (PMID: 9820211) ; Int J Clin Pharmacol Ther. 1999 Feb;37(2):90-9. (PMID: 10082173) ; Am J Ophthalmol. 1963 Nov;56:785-96. (PMID: 14077183) ; Rev Inst Med Trop Sao Paulo. 1982 Sep-Oct;24(5):263-7. (PMID: 7167706) ; Invest Ophthalmol. 1969 Jun;8(3):290-301. (PMID: 5772720) ; J Refract Surg. 2002 Jul-Aug;18(4):444-8. (PMID: 12160154) ; Am J Crit Care. 1996 Jan;5(1):42-8. (PMID: 8680492) Substance Nomenclature: 0 (Anesthetics, Local) Entry Date(s): Date Created: 20060425 Date Completed: 20071113 Latest Revision: 20211020 Update Code: 20231215

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