A Case of Ocular Perforation by an Acupuncture Needle Directly Through the Bulbar Conjunctiva.

Chung, Hee Young; Lee, Su Chan; Choi, Jin Young; Sohn, Joon Hong; Hwang, Duck Jin

doi:2016.57.1.130

J Korean Ophthalmol Soc > Volume 57(1); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(1):130-133.
DOI: https://doi.org/10.3341/jkos.2016.57.1.130 Published online January 15, 2016.

A Case of Ocular Perforation by an Acupuncture Needle Directly Through the Bulbar Conjunctiva.

Hee Young Chung, Su Chan Lee, Jin Young Choi, Joon Hong Sohn, Duck Jin Hwang

Hangil Eye Hospital, Incheon, Korea. hallelu7@gmail.com

결막 경유 직접적 안구 내 침 시술로 인한 안구 천공 손상 1예

정희영⋅이수찬⋅최진영⋅손준홍⋅황덕진

한길안과병원

Abstract

PURPOSE
To report a case of ocular perforation by an acupuncture needle directly through the bulbar conjunctiva. CASE SUMMARY: A 62-year-old male visited our clinic with acute ocular pain and decreased vision in his left eye. He had received intraocular acupuncture therapy one day earlier. A slit-lamp examination revealed conjunctival hyperemia and vitreous prolapse at the superonasal quadrant of the bulbar conjunctiva. Grade one of anterior chamber cells was found in the left eye. Dilated fundoscopy revealed three retinal hemorrhages at the superonasal quadrant of the retina; vitreous hemorrhage and opacity were also observed. Thus, vitrectomy and injections of intravitreal antibiotics were performed. Intraoperatively, we identified the entry site, located in the superonasal retinal quadrant, immediately behind the ora serratia. At the three-month postoperative follow-up, the patient's visual acuity was 0.9 in the left eye and the retina remained flat with no postoperative complications. CONCLUSIONS: We observed a case of ocular perforation and endophthalmitis following ocular acupuncture treatment. This case illustrates the dangers of intraocular acupuncture therapy.

Key Words: Acupuncture;Ocular perforation