Inadvertent ocular perforation during lid anesthesia for hordeolum removal.

Jun Heon Kim, Sun Mo Yang, Hyo Myung Kim, Jae Ryung Oh

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her final visual acuity of the left eye was 20/20. Postoperative specular microscopic examination revealed a normal-range endothelial cell count, coefficient of variation, and hexagonality despite the intracameral lidocaine injection. CONCLUSIONS: Anesthetic injection of an infected lid should be done with great caution. Although there are possibilities of corneal endothelial toxicity and endophthalmitis in case of intracameral lidocaine injection through the infected lid, yet proper management may save the patient's vision without complications.

Original languageEnglish
Pages (from-to)199-200
Number of pages2
JournalKorean journal of ophthalmology : KJO.
Volume20
Issue number3
Publication statusPublished - 2006 Sep 1

Fingerprint

Hordeolum
Anesthesia
Lidocaine
Cataract
Injections
Corneal Perforation
losigame
Endophthalmitis
Anterior Chamber
Cornea
Lenses
Visual Acuity
Anesthetics
Reference Values
Endothelial Cells
Cell Count
Anti-Bacterial Agents

Cite this

Inadvertent ocular perforation during lid anesthesia for hordeolum removal. / Kim, Jun Heon; Yang, Sun Mo; Kim, Hyo Myung; Oh, Jae Ryung.

In: Korean journal of ophthalmology : KJO., Vol. 20, No. 3, 01.09.2006, p. 199-200.

Research output: Contribution to journalArticle

@article{e0b7676921dd4c4b8aed0381929e53a0,
title = "Inadvertent ocular perforation during lid anesthesia for hordeolum removal.",
abstract = "PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her final visual acuity of the left eye was 20/20. Postoperative specular microscopic examination revealed a normal-range endothelial cell count, coefficient of variation, and hexagonality despite the intracameral lidocaine injection. CONCLUSIONS: Anesthetic injection of an infected lid should be done with great caution. Although there are possibilities of corneal endothelial toxicity and endophthalmitis in case of intracameral lidocaine injection through the infected lid, yet proper management may save the patient's vision without complications.",
author = "Kim, {Jun Heon} and Yang, {Sun Mo} and Kim, {Hyo Myung} and Oh, {Jae Ryung}",
year = "2006",
month = "9",
day = "1",
language = "English",
volume = "20",
pages = "199--200",
journal = "Korean journal of ophthalmology : KJO",
issn = "1011-8942",
publisher = "Seoul Kjo",
number = "3",

}

TY - JOUR

T1 - Inadvertent ocular perforation during lid anesthesia for hordeolum removal.

AU - Kim, Jun Heon

AU - Yang, Sun Mo

AU - Kim, Hyo Myung

AU - Oh, Jae Ryung

PY - 2006/9/1

Y1 - 2006/9/1

N2 - PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her final visual acuity of the left eye was 20/20. Postoperative specular microscopic examination revealed a normal-range endothelial cell count, coefficient of variation, and hexagonality despite the intracameral lidocaine injection. CONCLUSIONS: Anesthetic injection of an infected lid should be done with great caution. Although there are possibilities of corneal endothelial toxicity and endophthalmitis in case of intracameral lidocaine injection through the infected lid, yet proper management may save the patient's vision without complications.

AB - PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her final visual acuity of the left eye was 20/20. Postoperative specular microscopic examination revealed a normal-range endothelial cell count, coefficient of variation, and hexagonality despite the intracameral lidocaine injection. CONCLUSIONS: Anesthetic injection of an infected lid should be done with great caution. Although there are possibilities of corneal endothelial toxicity and endophthalmitis in case of intracameral lidocaine injection through the infected lid, yet proper management may save the patient's vision without complications.

UR - http://www.scopus.com/inward/record.url?scp=33750125874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750125874&partnerID=8YFLogxK

M3 - Article

VL - 20

SP - 199

EP - 200

JO - Korean journal of ophthalmology : KJO

JF - Korean journal of ophthalmology : KJO

SN - 1011-8942

IS - 3

ER -