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J Cataract Refract Surg. 2009 Jun;35(6):1132-3. doi: 10.1016/j.jcrs.2009.01.032.

Endophthalmitis due to inadvertent globe penetration during retrobulbar injection of saline solution for laser in situ keratomileusis.

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1
Department of Ophthalmology, University of California, San Francisco, California 94143-0730, USA.

Abstract

A 31-year-old woman presented with visual acuity of counting fingers and presumed bacterial endophthalmitis in the left eye 10 days after refractive surgery. During the procedure, a retrobulbar injection of balanced salt solution had been performed to assist with globe suction by the microkeratome. A perforation site was identified in the inferonasal retina. Following intravitreal antibiotic injection and surgical intervention, the visual acuity returned to 20/20. Retrobulbar injection to facilitate laser in situ keratomileusis carries risks. Careful monitoring for signs of infection is recommended if globe perforation is recognized.

PMID:
19465301
DOI:
10.1016/j.jcrs.2009.01.032
[Indexed for MEDLINE]
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