case_images: PMC10957063_01
case_images: (a) Fundus photo of LE showing VH with SRH (white arrow). (b) Ultrasound scan showing VH. (c) Fundus photo taken a week later showed partial resolution of VH and SRH (white arrow). (d and e) OCT scans across the exit wound. VH: Vitreous hemorrhage, SRH: Subretinal hemorrhage, OCT: Optical coherence tomography
case_images: OJO-17-117-g001.jpg
case_images: PMC10957063_01_OJO-17-117-g001.jpg
case_images: ojo_38_22-f001
case_images: Despite that, an area of subretinal hemorrhage could be seen along the inferotemporal arcade [Figure 1a; white arrow]. Ultrasound scan of the LE revealed increased dot echoes of moderate reflectivity with good aftermovements corresponding to the VH and a posterior vitreous detachment (PVD) with an attached retina [Figure 1b]. One week later, her vision improved to 6/24 in the LE with partial resolution of VH and the subretinal hemorrhage of about four-disc diameters size was now well visualized along the inferotemporal arcade corresponding to the exit wound of the needle used for peribulbar block [Figure 1c; white arrow]. Heidelberg imaging, Germany) scan along the exit wound showed subretinal hemorrhage and full-thickness retinal tear [Figure 1d and e].
case_images: Fundus photo showing. (a) Barrage laser scars around the exit wound (white arrow) along the inferotemporal arcade and the entry wounds in the inferotemporal equatorial region (yellow arrows). (b) Barrage laser scars around the perforation sites and an attached retina at 1-year follow-up
case_images: OJO-17-117-g002.jpg
case_images: PMC10957063_01_OJO-17-117-g002.jpg
case_images: ojo_38_22-f002
case_images: Two more focal points of retinal whitening were noted in the inferotemporal quadrant diagonally opposite to the exit wound indicating needle tip entry points [Figure 2a; yellow arrows]. Barrage laser was done around the exit wound [Figure 2a; white arrow] along the inferotemporal arcade and the entry wounds in the inferotemporal equatorial region [Figure 2a; yellow arrows]. Her vision had further improved to 6/6, N6, with barrage laser scars around the perforation sites and an attached retina [Figure 2b].