Journal List > J Korean Ophthalmol Soc > v.50(8) > 1008350

Do, Young, Seong, and Kyu: A Case of Needleless Jet Injector Induced Bilateral Chorioretinal Injury

Abstract

Purpose:

To report a case of bilateral chorioretinal injury by needleless jet injector misuse.

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.

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Figure 1.
(A) Needless jet injector (B) Diagram illustrating device functions.
jkos-50-1282f1.tif
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.
jkos-50-1282f2.tif
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.
jkos-50-1282f3.tif
Figure 4.
(A) Choroidal and retinal hypofluorescence at injury site in superotemporal area of right eye at 15 months after injury. (B) No remarkable finding but old laser scar was seen in superotemporal area of left eye at 15 months after injury.
jkos-50-1282f4.tif
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