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

• Published in: American journal of ophthalmology case reports Vol. 36; p. 102159
• Main Authors: Alsafran, Hend, Esmaeil, Ali, AlAli, Alaa
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-12-2024; Elsevier
• Subjects: Blunt trauma; Case Report; Choroidal neovascularization; Choroidal rupture; Dermojet; Needleless drug delivery; Needleless drug delivery; Choroidal rupture; Blunt trauma; Choroidal neovascularization; Dermojet
• ISSN: 2451-9936; 2451-9936
• DOI: 10.1016/j.ajoc.2024.102159

In this case report, we discuss a case of ocular insult following a needle-less Dermojet injection to the brow region.
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.
We recommend against using high-pressure, needle-less systems in the periorbital area due to vision-threatening risks, urging caution among healthcare professionals.