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Choroidal Neovascularization After Globe Penetration by Peribulbar Anesthesia
Arch Ophthalmol. 2004;122:1544-1546.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Iatrogenic choroidal neovascularization is a rare complication of ocular surgery. It is usually a result of laser photocoagulation, retinal cryotherapy, or subretinal fluid drainage. It was believed to be induced by damaging the Bruch membrane and/or retinal pigment epithelium, from which the reparative processes trigger the release of angiogenic factors.1
We report a case of global penetrationinduced choroidal neovascularization following peribulbar anesthesia for cataract surgery.
Report of a Case
A 75-year-old woman originally scheduled for phacoemulsification with an intraocular lens implant in the right eye had a procedure complicated by global penetration during peribulbar anesthesia. Dilated fundus examination revealed a suspected penetration site; preretinal and subretinal hemorrhages were also found in the right posterior pole. The operation subsequently proceeded because the intraocular pressure was not soft after penetration. It was then complicated by a posterior capsular tear, and an anterior vitrectomy was done to complete the surgery. Two months after surgery, the patient's best-corrected . . . [Full Text of this Article] Comment
Nan-Kai Wang, MD;
Wei-Chi Wu, MD;
Lan-Hsin Chuang, MD;
Yeou-Ping Tsao, MD, PhD;
Tun-Lu Chen, MD;
Chi-Chun Lai, MD
Correspondence: Dr Lai, Department of Ophthalmology, Chang Gung Memorial Hospital, 5 Fu-Hsing St, Kwei-Shan, Tao-Yuan, Taiwan (ccl404@cgmh.org.tw).
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