{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:03Z","timestamp":1787775723759,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Inadvertent globe perforation following peribulbar anesthesia can lead to unpleasant experiences if not identified early and managed appropriately. We present the case of a 75-year-old female who came with decreased vision in the left eye (LE) following cataract surgery under peribulbar block. Her visual acuity in the right eye (RE) was 6\/24 and LE was 6\/75. Fundus examination of LE showed vitreous hemorrhage with localized subretinal hemorrhage along the inferotemporal arcade suggestive of globe perforation. Optical coherence tomography (OCT, Spectralis. Heidelberg imaging, Germany) scan across the perforation site showed subretinal hemorrhage and full-thickness retinal tear. On follow-up, two more focal points of retinal whitening were noted in the inferotemporal equatorial region. The patient was kept under close monitoring, and 4 weeks later, vision improved to 6\/9 and barrage laser was done around the perforation sites. Serial OCT scans and close follow-up in iatrogenic globe perforation can result in good visual outcomes.<\/jats:p>","DOI":"10.4103\/ojo.ojo_38_22","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T02:00:37Z","timestamp":1708480837000},"page":"117-119","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Inadvertent triple globe penetration during peribulbar anesthesia"],"prefix":"10.4103","volume":"17","author":[{"given":"B.","family":"Poornachandra","sequence":"first","affiliation":[{"name":"Department of Vitreo Retinal Surgery, Narayana Nethralaya, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathiba","family":"Hande","sequence":"additional","affiliation":[{"name":"Department of Vitreo Retinal Surgery, Narayana Nethralaya, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherina","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Vitreo Retinal Surgery, Narayana Nethralaya, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Vitreo Retinal Surgery, Narayana Nethralaya, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananth","family":"Bhandary","sequence":"additional","affiliation":[{"name":"Department of Cataract Surgery, M S Ramaiah Memorial Hospital, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"R1-20240918","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S0886-3350(13)80586-X","article-title":"Efficacy and complication rate of 16,224 consecutive peribulbar blocks. A prospective multicenter study","volume":"20","author":"Davis","year":"1994","journal-title":"J Cataract Refract Surg"},{"key":"R2-20240918","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1001\/archopht.1987.01060060035017","article-title":"Globe perforation from peribulbar injection","volume":"105","author":"Kimble","year":"1987","journal-title":"Arch Ophthalmol"},{"key":"R3-20240918","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.jcro.2017.03.001","article-title":"Management of globe perforation during cataract surgery","volume":"5","author":"Agrawal","year":"2017","journal-title":"JCRS Online Case Rep"},{"key":"R4-20240918","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1093\/bja\/85.2.242","article-title":"Altered globe dimensions of axial myopia as risk factors for penetrating ocular injury during peribulbar anaesthesia","volume":"85","author":"Vohra","year":"2000","journal-title":"Br J Anaesth"},{"key":"R5-20240918","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/S0886-3350(01)01075-6","article-title":"Inadvertent ocular perforation and intravitreal injection of an anesthetic agent during retrobulbar injection","volume":"28","author":"Wadood","year":"2002","journal-title":"J Cataract Refract Surg"},{"key":"R6-20240918","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1111\/j.1442-9071.1995.tb01642.x","article-title":"Penetrating ocular injury following local anaesthesia","volume":"23","author":"McCombe","year":"1995","journal-title":"Aust N Z J Ophthalmol"},{"key":"R7-20240918","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.4103\/ijo.IJO_738_19","article-title":"Swept source optical coherence tomography in globe perforation","volume":"67","author":"Dubey","year":"2019","journal-title":"Indian J Ophthalmol"}],"container-title":["Oman Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_38_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:40:37Z","timestamp":1787773237000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_38_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ojo.ojo_38_22","relation":{},"ISSN":["0974-620X","0974-7842"],"issn-type":[{"value":"0974-620X","type":"print"},{"value":"0974-7842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2022-02-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}