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Abstract
Case summary:
In a dermatology department, the patient was diagnosed as having total alopecia and was scheduled to be injected on her eyelash by needleless jet injector for treatment but inexpert doctor injected on the eyelid, not eyelash, by mistake. She then suddenly complained of blurred vision and a floater just after that procedure and was referred to the ophthalmology department. Bilateral vitreous hemorrhage and preretinal hemorrhage were seen during indirect ophthalmoscopic examination and bilateral prophylactic argon laser photocoagulation was done around the suspicious tear site. Then bilateral vitreous hemorrhage and preretinal hemorrhage were absorbed and we found a partial retinal rupture lesion and choroidal rupture lesion in the right eye and a retinal injury lesion in the lefteye. Therefore we observed the lesions of both eyes continuously without further treatment. Her clinical symptoms improved.
Conclusions:
Needleless jet injector has many advantages, especially less pain and injury than a normal needle injector and is usually used in clinic as preoperative local anesthesia and steroid injection in many medical fields. In this case, the needleless injector was accidentally misused inducing both direct and indirect choroidal rupture and retinal injury. In general, while a needleless jet injector is used in ophthalmology department, we have to use it with the greatest care.
References
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Figure 2.
(A) Retinal injury and preretinal hemorrhage in superotemporal quadrant of left eye immediately after injury (before argon laser photocoagulation). (B) Choroidal rupture and preretinal hemorrhage covering lesions in superotemporal quadrant of right eye at two weeks after injury.
Figure 3.
(A) Preretinal hemorrhage was absorbed clearly and full thickness and partial thickness choroidal rupture and retinal disruption were found in superotemporal quadrant of right eye at one year after injury. (B) Only the old laser scar was seen and old retinal injury was almost invisible in superotemporal quadrant of left eye at one year after injury.
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