Work

Traumatic vitreous hemorrhage and choroidal rupture after needleless Dermojet injection to the eyebrow

Year: 2024

Type: article

Abstract: Purpose: In this case report, we discuss a case of ocular insult following a needle-less Dermojet injection to the brow region. Observations: Initial examination revealed pin-point sites of injector contact over the right brow, a dense temporal subconjunctival hemorrhage, a temporal area of commotio retinae, and a vitreous hemorrhage localized to the inferotemporal quadrant of the retina obscuring the view to the retina behind it. The potential for a concealed penetrating globe injury or retinal break was of significant concern. Conservative management was opted with close follow-up. Over a 10-week period, the patient's symptoms and signs improved, and final assessment showed an extramacular choroidal scar indicative of choroidal rupture. Risks of the development of choroidal neovascularization were communicated and a plan for diligent follow up was given. Conclusions and importance: We recommend against using high-pressure, needle-less systems in the periorbital area due to vision-threatening risks, urging caution among healthcare professionals.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2024.102159

Authors: Hend Alsafran, Ali Esmaeil, Alaa AlAli

Institutions: Ibn Sina Hospital, Dasman Diabetes Institute

Language: English

Topic: Traumatic Ocular and Foreign Body Injuries

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,340