Inadvertent intraocular injection of methylprednisolone in a patient with prior superior oblique tuck surgery

Summary Background To report inadvertent intraocular methylprednisolone injection into an eye that had previously undergone superior oblique tuck surgery. Material and methods An observational case report. Results penetration occurred following periorbital injection, which was performed via the superonasal quadrant to relieve trochlear pain in previous procedure. There immediate loss of vision, afferent pupillary defect, raised pressure. Fundoscopy revealed intravitreal subretinal with retinal detachment. Immediate removal a reattachment Postoperatively, necrosis noted area contact methylprednisolone. Conclusions This highlights risk while injecting through limited space has been operated on.