[Orbital penetrating wound by a bull horn].
BACKGROUND
Bull horn injuries are severe lesions with a high risk of bacterial contamination, and are common in countries where people are fond of bullfighting and related spectacles.


METHODS
A 19-year-old man was referred with a penetrating wound in the superior left eyelid produced by a bull horn and resulting in a fracture of the orbital roof and a fat hernia. Prophylactic antibiotics and tetanus toxoid were administered and surgical reconstruction of the wound performed. Orbital cellulitis did develop, but this responded to systemic antibiotic therapy within a few days.


CONCLUSIONS
Successful treatment of this type of lesion requires early diagnosis, meticulous surgical exploration and appropriate use of prophylactic antibiotics and tetanus toxoid.
Campos-Mollo
E
E
Servicio de Oftalmología, Hospital Virgen de los Lirios, Alcoy (Alicante), España. ezechiel@hotmail.com
Pérez-Santonja
J J
JJ
Samper-Giménez
J
J
D000328:Adult; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000601:surgery; D005143:Eyelids / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000209:etiology* / Q000601:surgery