International Medical Case Reports Journal (Apr 2021)
Poor Outcome in Camel-Related Eye Trauma with Ruptured Globe
Abstract
Alanuad I Albazei,1 Omar H Ahmed,1 Naif M AlAli,2 Ruba M Alselaimy,3 Shaker O Alreshidi,4 Moustafa S Magliyah,5,6 Hani B Albalawi2 1Department of Ophthalmology, King Khalid Hospital, Tabuk, Saudi Arabia; 2Department of Ophthalmology, Tabuk University, Tabuk, Saudi Arabia; 3Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia; 4Almajmaah University, Almajmaah, Saudi Arabia; 5Department of Ophthalmology, Prince Mohammed Medical City, Aljouf, Saudi Arabia; 6Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaCorrespondence: Moustafa S MagliyahVitreoretinal Division, King Khaled Eye Specialist Hospital, Al- Oruba Street, PO. Box 7191, Riyadh, 11462, Saudi ArabiaTel +966 11 482 1234 Ext. 2655Fax +966 11 4821234 Ext. 2764Email [email protected]: To report the poor visual outcome of ruptured globe caused by camel bites.Observations: A 48-year-old camel caregiver presented to the emergency department after being bitten by a camel in the left side of his face. Ophthalmic examination revealed a superior scleral wound from 9 to 2 o’clock, about 6 mm from the limbus extending to the equator with prolapse of uveal and vitreous tissues, an opaque cornea, total hyphema, diffuse subconjunctival hemorrhage, and a lower lid laceration involving the lid margin and the nasolacrimal duct. The patient has undergone surgical repairs of ruptured globe and lid laceration, followed by retinal detachment surgery. Following these surgical interventions, the patient preserved a light perception vision with flat retina.Conclusion: Camel-related injuries might primarily involve the ophthalmic structures, especially in camel bites. Camel-related eye trauma might lead to poor visual and anatomical outcomes which might not improve following surgical interventions.Keywords: camel attack, ruptured globe, trauma, retinal detachment, animal-related injury, camel-related injury
