| 본문 : To report a case of ocular perforation by an acupuncture needle directly through the bulbar conjunctiva.A 62-year-old man 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. One grade of anterior chamber cells was found in the left eye. Dilated fundoscopy revealed 3 retinal hemorrhages at the superonasal quadrant of the retina; we also observed vitreous hemorrhage and opacity. We thus performed vitrectomy and injections of intravitreal antibiotics. Intraoperatively, we identified the entry sites, located in the superonasal quadrant of retina, just behind the ora serratia. At the 3-month postoperative follow-up, the patient’s visual acuity was 0.9 OS, and the retina remained flat with no postoperative complications. We observed an ocular perforation and endophthalmitis following ocular acupuncture treatment. This case elucidates the dangers of intraocular acupuncture therapy. |