Abstract

PurposeTo enable ophthalmologists to recognize and manage buccal fat pad hemorrhage occurring after retrobulbar injection. DesignInterventional case report. MethodsA 52-year-old woman with proliferative diabetic retinopathy underwent left retrobulbar injection before panretinal photocoagulation (PRP). ResultsImmediately after PRP, the patient complained of left cheek swelling. Ocular examination was unremarkable. Computed tomographic imaging studies confirmed the clinical diagnosis of hemorrhage within the buccal fat pad. No hemorrhage was found within the retrobulbar space. The hemorrhage resolved spontaneously without sequelae. ConclusionThis case widens the known spectrum of hemorrhagic complications after retrobulbar injection.

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