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Orbital and periorbital dog bites.

R S Gonnering1

  • 1Department of Ophthalmology, University of Wisconsin, Madison.

Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1987
PubMed
Summary

Periorbital and orbital dog bites, though uncommon, frequently affect young children and may cause adnexal injuries. Prompt medical care with wound irrigation and prophylactic antibiotics can prevent rare but serious complications.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Pediatric Medicine

Background:

  • Periorbital and orbital dog bites are infrequent but can result in severe adnexal injuries.
  • These injuries predominantly affect young children, often involving family pets.
  • The precipitating cause of the bite is typically unknown.

Purpose of the Study:

  • To review the characteristics and management of periorbital and orbital dog bites.
  • To highlight potential complications and necessary prophylactic treatments.

Main Methods:

  • Review of clinical cases involving periorbital and orbital dog bites.
  • Analysis of injury patterns, treatment strategies, and patient outcomes.

Main Results:

  • Young children are the most common victims, frequently sustaining associated adnexal injuries.
  • Primary reconstruction is often achievable with meticulous wound care and irrigation.
  • Infection, though rare, necessitates prophylactic antibiotic treatment (e.g., penicillinase-resistant penicillin or cephalosporin).

Conclusions:

  • Ophthalmologists must consider serious, potentially fatal risks including intracranial injury in trẻ under 2 years, septicemia in asplenic patients, tetanus, and rabies.
  • Prompt and thorough management is crucial for optimal outcomes in these rare injuries.

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