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  Vol. 145 No. 8, August 2009 TABLE OF CONTENTS
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VIGNETTES
Perforating Eye Injury Caused by a Dermojet Syringe

Yoreh Barak, MD; Maoz D. Amiran, MD; Edward Fineberg, MD; Yaron Lang, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The Dermojet (AKRA Dermojet, Pau, France) is a medical device commonly used for intradermal injection of liquid medications without the use of a needle.1 It is painless and requires no physical contact with the patient's skin. Common indications for Dermojet use include alopecia areata, cystic acne, and keloids.2 Considered to be safe for intradermal delivery of drugs, it has been used also for periocular injections.

Report of a Case

A 53-year-old man with psoriasis and alopecia areata was treated with triamcinolone injection to his right eyebrow using a Dermojet syringe. Immediately after the injection, the patient complained of pressure and acute loss of vision in the right eye.

On examination, the best-corrected visual acuity (BCVA) was 6/240 OD, and intraocular pressure (IOP) was 14 mm Hg. A small needlelike hole was visible in the right brow area (Figure 1A), . . . [Full Text of this Article]


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