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Attempted bilateral manual enucleation (gouging) during a physical assault
Marina Shneck1, Tzafrir Oshry, Mira Marcus
1Department of Ophthalmology, Soroka Medical Center, Faculty of the Health Sciences, Ben Gurion University of Negev, Beer Sheva, Israel 84101. roni@brgmail.bgu.ac.il
Ophthalmology
|March 8, 2003
Summary
Severe eye trauma can lead to vision loss, but prompt surgical intervention offers a chance for partial visual recovery. This case highlights the importance of timely management for traumatic bilateral enucleation.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Traumatic enucleation, though rare, presents significant management challenges.
- Prompt assessment and intervention are crucial for preserving visual function.
Observation:
- A severe case of partial traumatic bilateral enucleation involving complete avulsion of extraocular muscles and optic nerve in one eye.
- The fellow eye sustained partial avulsion, presenting an opportunity for visual salvage.
Findings:
- Initial management included lateral canthotomy, followed by exploration, extraocular muscle repair, and anterior chamber tap under general anesthesia.
- Surgical intervention on the partially avulsed eye resulted in partial visual recovery.
- Literature review of similar rare cases of traumatic globe avulsion was conducted.
Implications:
- Partial visual recovery is achievable even after severe orbital and optic nerve trauma.
- A multidisciplinary approach is recommended for optimal assessment and management of such complex cases.
