title: [Bilateral eye injuries by external transversal force].
abstract: A 49-year-old female victim of violent crime with an acute bilateral loss of vision was referred to our hospital. The ophthalmological evaluation showed complete subconjunctival hemorrhage of both eyes, bilateral hemophthalmos and hypotonia of the left eye. These raised the suspicion of an occult scleral rupture. We immediately performed exploratory surgery and found a perforating scleral lesion of the left eye and a penetrating scleral lesion of the right eye. Furthermore, a small, cruciform wound was detected on the left temple. In cooperation with the department of radiology, the extraordinary injury pattern was reconstructed: a horizontal stab wound with perforation of the left eye and penetration of the right eye caused by a screwdriver. Visual rehabilitation necessitated further surgical interventions. Besides the intraoperative approach, immediate primary wound management within 100 h of trauma plays a pivotal role for long-term outcome.
authors.affiliation: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland. Katharina.Geidel@medizin.uni-leipzig.de.
authors.forename: K
authors.initials: K
authors.lastname: Geidel
authors.affiliation: Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schob
authors.affiliation: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland.
authors.forename: J D
authors.initials: JD
authors.lastname: Unterlauft
authors.affiliation: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Wiedemann
authors.affiliation: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstr. 10-14, 04103, Leipzig, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Meier
mesh_terms: D001766:Blindness / Q000209:etiology* / Q000601:surgery; D005130:Eye Hemorrhage / Q000209:etiology* / Q000601:surgery; D005131:Eye Injuries / Q000175:diagnosis* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000601:surgery; D005151:Facial Injuries / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D012590:Sclera / Q000293:injuries; D013536:Suture Techniques; D014754:Violence; D014821:Vitrectomy; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery; D014951:Wounds, Stab / Q000175:diagnosis / Q000601:surgery
keywords: Ocular trauma; Ophthalmology surgery; Penetrating injury; Perforating injury; Traumascore