1 clinical data of patients with
, M, 67a, as a result of age-related cataract in his right eye in June 1995 in our hospital right eye line extracapsular cataract extraction and posterior chamber intraocular lens implantation and after re-pigment membrane reactor, the right eye Subconjunctival injection of hydrocortisone acetate, the local operation at 10g. L tetracaine, post-anesthesia eyelid open, with a one-time skin test needle extraction hydrocortisone acetate 0.5mL, needle piercing the ball after the conjunctiva as a result of patients with eye movement, combined with outstanding attention to the observation, is about to inject liquid 0.5mL , The patient immediately before flu fluttering shadow, the vision to a sharp fall from 0.5 refers to the number of eyes, immediately taking the needle in the retina were observed, see a large number of posterior vitreous opacity material, for the diagnosis of iatrogenic his right eye penetrating injury with vitreous Hydrocortisone acetate remaining. Taking into account just Offices penetrating body at the flat, it is done to address further, close observation, 10d and discharged, the hospital refers to the vision before us Number, 2mo review of patients to hospital, 0.8 vision, and vitreous body to absorb drugs, no retinal detachment.
2 discuss
subconjunctival injection caused by iatrogenic penetrating eye injury is extremely rare, in this case our analysis of the following: (1) in patients with inspection activities eye operation; (2) health care operations are not vigilant, Unskilled operation, the needle into the conjunctiva did not observe the location of the needle that injected drugs; (3) one-time skin test needle is very sharp, very little resistance when the needle into the affected operators to determine the touch. The most important thing is not to observe the operation. Iatrogenic penetrating eye injury prevention: pre-operative patients to the treatment and that purpose should be topical anesthesia in patients with complete access to, health care operations into the wall tangent eye with the needle so as to avoid needle into the vertical, into the post-needle through Conjunctiva tip the situation to see if there is a sense of frustration that has been through the eye, should immediately stop injecting. Treatment: If it is found that penetrating eye, such as penetrating Department at Ping-side pin back after close observation, the prevention of infection at the same time, if located outside of the Department of partial-penetration Department should be carried out to prevent condensation or electrocoagulation retinal detachment. Received Date-05-08; amendments to the date :1999-02-13