Subretinal Mass From Globe Penetration During Peribulbar Anesthesia

Dr. Mohamed Awadalla manages an unexpected dome-shaped, non-hemorrhagic subretinal mass that appeared during a routine pars plana vitrectomy for dense vitreous hemorrhage in a patient with proliferative diabetic retinopathy. This unusual finding was attributed to unintentional globe penetration during in-house peribulbar anesthesia administration. The video demonstrates one way to deal with such an encounter and reports on the postoperative disappearance of the mass after absorption of the injected bolus of fluid. Maintaining a high index of suspicion is essential to recognize potential complications of peribulbar anesthesia.

Financial Disclosures: Dr. Mohamed Awadalla discloses no financial relationships.