J Korean Ophthalmol Soc.  2020 Apr;61(4):439-443. 10.3341/jkos.2020.61.4.439.

Both Ocular Perforation Caused by Periocular Acupuncture Therapy

• Lee KY
• Gil TY
• Jung HG
• Shin SJ

• KMID: 2500112
• DOI: http://doi.org/10.3341/jkos.2020.61.4.439

Abstract

Purpose
To report a case of both ocular perforation due to periocular acupuncture therapy with vitrectomy in the right eye and barrier laser photocoagulation without vitrectomy in the left eye.
Case summary
A 58-year-old female presented with ocular pain and decreased visual acuity in both eye. She had received periocular acupuncture therapy 4 days earlier. Dilated fundoscopy revealed vitreous hemorrhage. B-scan ultrasonography revealed vitreous opacity. Thus, at the request of the patient, vitrectomy was performed in only the right eye, and did not performed in the left eye. Intraoperatively, we identified retinal laceration in the temporal and inferior retina. In the left eye, the sites of retinal hemorrhage were observed in the temporal and inferior retina in the fundus examination, and a barrier laser photocoagulation was performed around the lesion. At the three-month postoperative follow-up, the patient’s visual acuity was 0.5 in the right eye without macular edema. In the left eye, visual acuity was 0.01 with macular edema observed on optical coherence tomography.
Conclusions
Authors present a case of a patient with vitreous hemorrhage and ocular perforations caused by periocular acupuncture therapy in both eye, able to compare the results of eyes that performed vitrectomy and that did not performed vitrectomy in a same patient. The recovery of visual acuity in eye that performed vitrectomy was better than eye that did not performed vitrectomy. Therefore, we consider performing vitrectomy in patients with eye perforation.

Keyword

Periocular acupuncture; Ocular perforation; Vitrectomy