[Iatrogenic eye perforation in para- and retrobulbar injections]

Abstract

The authors report on 5 cases of inadvertent iatrogenic perforation of the globe in the course of retrobulbar and parabulbar injections. Perforation occurred twice by injection of the drug into the eyeball itself (subretinally or intravitreally), while in 3 cases a double perforation occurred, as a result of which the drug penetrated behind the eye. The prognosis is better in the latter case. Even though perforation of the globe during parabulbar and retrobulbar injections is extremely rare, it must always be considered if there is a sudden deterioration in vision and/or severe pain immediately after the injection; depending on the situation, retinal and/or vitreous surgery must then be performed at once.