Case 30: Traumatic Enucleation

Abstract

A 41-year-old woman presented with a Zone III open globe injury of the right eye with no light perception vision and concurrent traumatic enucleation of the left eye due to assault. She underwent bilateral globe exploration with repair of the ruptured right globe and placement of an orbital implant on the left. She experienced persistent eye pain and no light perception vision on the right and subsequently underwent enucleation of the right eye with placement of an orbital implant 1 week later. Traumatic enucleations are rare, often caused by manual gouging injuries in instances of assault or self-induced. Bilateral severe eye injuries, such as this, are also rare, but are particularly devastating to the patient and family. These cases must be managed appropriately, both surgically as well as psychologically.