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Cannibalistic bilateral orbital trauma
Tatiana R Rosenblatt1, Giancarlo A Garcia1, Thomas E Johnson2
1Byers Eye Institute, Stanford University School of Medicine, 2452 Watson Court, Palo Alto, CA, 94303, USA.
American Journal of Ophthalmology Case Reports
|November 9, 2020
Summary
This case study details the first reported survival of a patient experiencing cannibalistic orbital trauma. Oculoplastic reconstruction successfully addressed severe facial and orbital injuries, prioritizing patient recovery.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Plastic Surgery
Background:
- Cannibalistic trauma is exceptionally rare, particularly involving orbital structures.
- Survivors of such extreme violence present unique challenges in reconstructive surgery.
Observation:
- A 65-year-old male survived a severe cannibalistic attack causing extensive facial and bilateral orbital trauma.
- The injury involved loss of adnexal structures, partial exenteration of one orbit, and significant damage to the other globe and anterior orbital structures.
Findings:
- The patient underwent emergent surgery including left orbital exenteration and right eyelid reconstruction.
- This is the first reported case of survival after cannibalistic orbital evisceration, presenting a unique reconstructive scenario.
Implications:
- Traditional oculoplastic principles were vital for managing this exceptional surgical case.
- The patient survived and was satisfied with the initial reconstructive outcome, avoiding immediate bilateral globe removal for emotional recovery.