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Editor's Correspondence
November 2006

Ocular Injury From Local Anesthetic Injections: Needle Expulsion—The Luer-Lok Allure

Author Affiliations

Correspondence: Dr Soparkar, Plastic Eye Surgery Associates, PLLC, 6655 Travis, Suite 100, Houston, TX 77030 (pesa_2005@bigcity.net).

Arch Facial Plast Surg. 2006;8(6):436. doi:10.1001/archfaci.8.6.436

Correspondence: Dr Soparkar, Plastic Eye Surgery Associates, PLLC, 6655 Travis, Suite 100, Houston, TX 77030 (pesa_2005@bigcity.net).

We wish to remind readers of the importance of using needle-locking syringes when administering local anesthetic near the eye. Although some may believe that this practice is already pervasive, we have encountered 6 cases of globe-penetrating needle expulsion from nonlocking syringes in patients referred to our oculoplastic practice within just the last decade. Of even more concern is an additional case resulting from an improperly seated locking needle. Clearly, correctly connected locking needles provide the most safety, but just as a gun should always be treated as though it were loaded and ready to fire, perhaps needled syringes should also be viewed in a similar fashion and general precautions routinely taken.

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