Penetrating Ocular Injury in a Young Child: A Case Report Highlighting the Urgency of Corneoscleral Repair
DOI:
https://doi.org/10.71341/bmwj.v2i2.37Keywords:
Penetrating Ocular Trauma, Corneal Laceration, Upper Eyelid LacerationAbstract
Introduction: Penetrating ocular trauma is an ophthalmologic emergency that can lead to significant vision loss, especially in children. This report describes the presentation and management of a severe case in a young child from a remote area.
Case Description: A 3-year-old girl presented with a left eye injury after being struck by a nail. Examination revealed a superior eyelid laceration, a full-thickness corneal laceration with iris prolapses, and hyphema. Initial visual acuity in the affected eye was 1/300. The patient underwent immediate corneoscleral repair followed by postoperative treatment with systemic and topical antibiotics, corticosteroids, and tetanus prophylaxis.
Discussion: Prompt surgical intervention is essential in cases of penetrating ocular trauma to preserve globe integrity and minimize the risk of complications such as endophthalmitis and amblyopia. Despite immediate surgical intervention, the patient's visual acuity remained poor two days post-surgery
Conclusion: This case underscores the critical need for early recognition, timely surgical intervention, and diligent follow-up care in the management of pediatric penetrating ocular trauma, particularly in remote areas where access to specialized care may be limited.
References
American Academy of Ophthalmology (2022). Fundamentals and principles of ophthalmology. ed. San Francisco: American Academy of Ophthalmology; (Basic and Clinical Science Course; section 2)
American Academy of Ophthalmology (2022). External disease and cornea. San Francisco: American Academy of Ophthalmology. 450–585. (Basic and Clinical Science Course; section 8)
Banamtuan, RA., Kartika, A. Karakteristik pasien trauma okuli di RSUD Soe, Kabupaten Timor Tengah Selatan, Provinsi Nusa Tenggara Timur. Oftalmologi: Jurnal Kesehatan Mata Indonesia. 2025;7(1). https://doi.org/10.11594/ojkmi.v7i1.84%20
Bayar, S A., Ozturker, Z K., Yilmaz, G. (2022). Clinical characteristics and outcomes of ocular injuries in pediatric patients. Turkish Journal of Trauma and Emergency Surgery. 2;28(5):654-661. doi: 10.14744/tjtes.2021.54524
Justin, GA., Scoville, NM. (2024). Ocular Trauma Score. Eye Wiki. https://eyewiki.org/Ocular_Trauma_Score
Omobolanle, A A., Henrietta, N. (2012). Pattern of paediatric corneal lacerations injuries in the University of port Harcourt teaching hospital, Rivers state, Nigeria. BMC Research Notes. 5:683. DOI: 10.1186/1756-0500-5-683
Pradana, PAS., Yuliawati,P., Djelantik, AAAS., Manuaba, IBP., Triningrat, AAMP., Utari, NML. (2017). Karakteristik pasien trauma okuli di RSUP Sanglah Denpasar pada bulan Juli 2011–Februari 2015. Medicina. Volume:48(176-177). 174-180.DOI:10.15562/medi.v48i3.148
Razzaqy, R., Hermadi, H., Dinata, MTS., Negari, ARD., Fatikhawati, A., Ardiani, K., Haniifah, U., Anas, M. (2023). Laporan Kasus: Laserasi palpebrae tertusuk kawat. Journal of Islamic Medicine.7(1):1–7. https://doi.org/10.18860/jim.v7i1.17444
Swetha, M., Priyam, G., Singasandra, S S., Hithashree., Srinivas. (2024). A clinical study of childhood penetraying ocular trauma in a tertiary care center in Southern India. Kerala Journal of Ophthalmology. 36(1):p 25-29. DOI: 10.4103/kjo.kjo_160_21
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