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.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Acetates / administration & dosage*
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Adult
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Anti-Bacterial Agents / therapeutic use
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Drug Combinations
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Endophthalmitis / diagnosis
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Endophthalmitis / drug therapy
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Endophthalmitis / etiology*
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Eye Injuries, Penetrating / complications*
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Eye Injuries, Penetrating / diagnosis
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Eye Injuries, Penetrating / therapy
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Female
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Humans
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Injections
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Keratomileusis, Laser In Situ*
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Minerals / administration & dosage*
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Needlestick Injuries / complications*
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Needlestick Injuries / diagnosis
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Needlestick Injuries / therapy
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Orbit / injuries*
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Retina / injuries*
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Sodium Chloride / administration & dosage*
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Ultrasonography
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Visual Acuity
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Vitrectomy
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Vitreous Detachment / diagnosis
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Vitreous Detachment / etiology
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Vitreous Detachment / surgery
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Vitreous Hemorrhage / diagnostic imaging
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Vitreous Hemorrhage / etiology
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Vitreous Hemorrhage / surgery
Substances
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Acetates
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Anti-Bacterial Agents
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BSS solution
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Drug Combinations
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Minerals
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Sodium Chloride