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Bilateral blindness following a stabbing assault: A case report
Azeddine Lachkar1, Drissia Benfadil1, Fahd Elayoubi1
1ENT and head and neck surgery department, University hospital Center Mohammed VI, Faculty of medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
International Journal of Surgery Case Reports
|May 22, 2022
Summary
A stabbing assault resulted in severe facial trauma and irreversible bilateral blindness due to penetrating orbital and optic nerve injury. This case highlights the critical public health impact of violent assaults.
Area of Science:
- Ophthalmology
- Neurosurgery
- Public Health
Background:
- Stabbing incidents are frequent in Morocco, posing a significant public health challenge.
- This case presents a particularly aggressive trauma with irreversible bilateral blindness.
Purpose of the Study:
- To report a unique case of severe facial trauma from a stabbing assault.
- To detail the diagnostic and surgical management of penetrating orbital and optic nerve injury.
Main Methods:
- Case report of a stabbing victim with facial and orbital trauma.
- Diagnostic imaging included urgent craniofacial CT scan.
- Surgical exploration and extraction of the weapon fragment.
Main Results:
- Penetrating stab wound to the right lateral canthus with orbital wall breach.
- Globe rupture and optic nerve transection on the left side.
- Irreversible bilateral blindness and need for psychiatric follow-up.
Conclusions:
- Violent aggressions can lead to devastating and irreversible consequences.
- This case underscores the severe ophthalmologic and neurological sequelae of penetrating facial trauma.
