| A Case of Needleless Jet Injector Induced Bilateral Chorioretinal Injury. |
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Do Gyun Kim, Young Gyun Kim, Seong Min Lee, Kyu Min Shin |
1Department of Ophthalmology, Myongji Hospital, College of Medicine, Kwandong University, Goyang, Korea. kimdk89@empal.com
2Department of Ophthalmology, College of Medicine, Kyunghee University, Seoul, Korea. |
| 무바늘 분사식 주입기 오사용에 의한 양안 맥락망막 손상 1예 |
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김도균1 ㆍ김영균2 ㆍ이성민1 ㆍ신규민1 |
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Department of Ophthalmology, Myongji Hospital, College of Medicine, Kwandong University1 , Goyang, Korea / Department of Ophthalmology, College of Medicine, Kyunghee University2 , Seoul, Korea |
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| 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. |
| Key Words:
Choroidal rupture;Needleless jet injector;Retinal injury |
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