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[Bilateral eye injuries by external transversal force].

K Geidel1, S Schob2, J D Unterlauft3

  • 1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland. Katharina.Geidel@medizin.uni-leipzig.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|December 16, 2016
PubMed
Summary
This summary is machine-generated.

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A violent crime victim experienced sudden vision loss due to a screwdriver injury. Immediate surgery revealed scleral ruptures in both eyes, emphasizing prompt wound management for better outcomes.

Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • A 49-year-old female presented with acute bilateral vision loss following violent crime.
  • Initial ophthalmological evaluation revealed severe ocular trauma including subconjunctival hemorrhage, hemophthalmos, and hypotonia.

Observation:

  • Suspicion of occult scleral rupture prompted immediate exploratory surgery.
  • Surgical findings included a perforating scleral lesion of the left eye and a penetrating scleral lesion of the right eye.
  • A cruciform wound on the left temple was also noted.

Findings:

  • Radiological reconstruction identified a horizontal stab wound by a screwdriver as the cause of the ocular injuries.
  • The screwdriver perforated the left eye and penetrated the right eye.
Keywords:
Ocular traumaOphthalmology surgeryPenetrating injuryPerforating injuryTraumascore

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Implications:

  • Visual rehabilitation required further surgical interventions.
  • Timely primary wound management within 100 hours of trauma is critical for long-term visual outcomes in severe eye injuries.