Traumatic globe luxation and enucleation caused by a human bite injury.
A 55-year-old woman presented to the emergency room with complete loss of vision in the left eye after being bit in the face by her autistic grandson. She had a small upper eyelid laceration and an anophthalmic socket on the left side. A thorough history revealed that the bite had caused traumatic luxation of her globe, which had allowed the child to transect the optic nerve with his teeth. Careful attention was directed toward the prevention of retrograde infection in this unusual case of traumatic enucleation.
Hindman
Holly B
HB
Wilmer Eye Institute, The Johns Hopkins Hospital, Baltimore, MD, USA. Holly_Hindman@URMC.Rochester.edu
Srikumaran
Divya
D
Halfpenny
Colleen
C
Hirschbein
Marc J
MJ
D000293:Adolescent; D001734:Bites, Human / Q000150:complications*; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005143:Eyelids / Q000293:injuries*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D020221:Optic Nerve Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed