Abstract
A 52-year-old lady presented with a history of stab injury to both eyes due to assault with scissors by her son. Ocular examination showed no perception of light in the right eye and perception of light in the left eye. Under diffuse illumination, the eyes were appearing unsalvageable. Computed tomography (CT) scan was suggestive of loss of right globe architecture but intact left globe and no intracranial injury. Examination under anesthesia (EUA) was suggestive of multiple injuries in both eyes. The right eye was enucleated and underwent a primary ocular implant. The left eye underwent reconstruction of the upper lid and ocular surface. Postoperatively, the left eye had visual acuity of 20/60 and the patient was able to perform her daily activities independently. Non-accidental bilateral ocular trauma is underreported in ophthalmology journals. Optimum management with a multidisciplinary approach will establish better cosmesis in an eye appearing unsalvageable. Better management and prognostication can be done by incorporating such types of injuries into the international trauma classification systems.
Published Version
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