Attempted bilateral manual enucleation (gouging) during a physical assault
| Autor: | Marina Shneck, Tzafrir Oshry, Mira Marcus, Tova Lifshitz |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty genetic structures Eye disease Enucleation Poison control Context (language use) Violence Extraocular muscles Eye Enucleation Avulsion Retrobulbar Hemorrhage Eye Injuries medicine Humans Fluorescein Angiography Rupture business.industry Choroid medicine.disease eye diseases Surgery Ophthalmology medicine.anatomical_structure Oculomotor Muscles Optic Nerve Injuries Optic nerve Female sense organs business Tomography X-Ray Computed |
| Zdroj: | Ophthalmology. 110(3) |
| ISSN: | 0161-6420 |
| Popis: | Objective To report a rare, severe case of partial traumatic bilateral enucleation and its assessment and management. Design Case report and literature review. Methods A report of clinical and imaging findings, surgical procedure, medical treatment, and final outcome. Results Complete avulsion of the extraocular muscles and optic nerve resulted in total loss of vision in one eye. Partial visual recovery was achieved by operating on the fellow eye, which was partially avulsed. Both eyes underwent lateral canthotomy in the emergency room. This was followed by exploration, repair of all ruptured extraocular muscles, and anterior chamber tap under general anesthesia. The few previously reported cases of traumatic manual avulsion of the globe are reviewed and discussed in the context of the present case. Conclusions Partial visual recovery can be achieved after severe orbital and optic nerve trauma. A multidisciplinary approach to the assessment and management of these patients is recommended. |
| Databáze: | OpenAIRE |
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