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Indian J OphthalmolIndian J OphthalmolIJOIndian Journal of Ophthalmology0301-47381998-3689Medknow Publications & Media Pvt Ltd India 30038178IJO-66-119410.4103/ijo.IJO_517_18Ophthalmic ImageRetinal incarceration in the needle perforation track Kumar Vinod Gupta Prasad N Christy Marem C Azad Shorya V Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Correspondence to: Dr. Vinod Kumar, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. E-mail: drvinod_agg@yahoo.com8 2018 66 8 1194 1194 Copyright: © 2018 Indian Journal of Ophthalmology2018This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
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A 60-year-old female was referred due to floaters in her right eye after uneventful cataract surgery performed 2 weeks ago. The patient had reported severe pain during peribulbar injection. A perforation site was seen along superotemporal vascular arcade on multi-color scanning laser and infrared reflectance imaging [arrow, Fig. 1a and b]. Fluorescein angiography showed localized nonperfusion [Fig. 1c]. Optical coherence tomography showed incarceration of retinal layers and obliteration of choroidal vessels at the perforation site [arrow, Fig. 1d]. Vitreous hemorrhage, the cause of floaters, was seen on color photograph and optical coherence tomography [arrowheads, Fig. 1a and d]. Ocular perforation during the peribulbar block is a potentially sight-threatening complication.[1] In some cases, the damage may be limited, especially if the drug is not injected into the eye. Retinal incarceration in the present case probably occurred at the time of withdrawal of needle and prevented further retinal detachment.

Figure 1 Multi-modal imaging of retinal incarceration in the needle perforation track

The authors present imaging features of retinal incarceration in a needle perforation track following peribulbar anesthesia.

Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship
Nil.

Conflicts of interest
There are no conflicts of interest.
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1 Gillow JT  Aggarwal RK  Kirkby GR   Ocular perforation during peribulbar anaesthesia Eye (Lond) 1996 10 533 6 8977774