Assault as a Cause of Ocular Morbidity in Contemporary Nigeria: A Case Report: Orbit And Oculoplasty

Chinda D.; Zubair A.; Peter E.; Abdullahi M.; Samaila E.

Authors

Chinda D. Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Shika, Zaria.
Zubair A. Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Shika, Zaria.
Peter E. Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Shika, Zaria.
Abdullahi M. Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Shika, Zaria.
Samaila E. Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Shika, Zaria.

Abstract

Introduction: Violence in Nigeria in its various forms has escalated to an alarming rate over the last decade. Factors responsible for this include poverty, political/civil strife, as well as domestic violence. The most frequent location of injury for victims of all types of violence is the head and neck with ocular injuries1 ranging from a small laceration on the eyelid, orbital fracture, or involvement of the globe.2

Case Report: A 20-year old man who presented with poorly sutured facial and lid lacerations sustained four days prior, from assault with a machete in a domestic setting. The laceration was sutured at the referring facility to secure haemostasis. Examination revealed a poorly sutured deep laceration extending from the left temporal region across the left upper and lower lids down to the upper lip. Vision in the left eye was counting finger at 1 meter. The puncta and canaliculi were not involved.

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References

Sheperd JP, Shapland M, Pearce NX et al. Pattern, severity and aetiology of injuries in victims of assault. J R Soc Med. 1990 Feb;83(2):75-78

Arosarena OA, Fritsch TA, Hsueh Y et al. Maxillofacial injuries and violence against women. Arch facial plastic Surg 2009 JanFeb;11(1):48-52

Babar TF, Khan MT, Marwat MZ et al. Patterns of ocular trauma. J Coll Physicians Surg Pak 2007 Mar;17(3):148-153

Rafindadi AL, Pam VA, Chinda D, Mahmud-Ajiegbe FA. Orbital and ocular trauma at Ahmadu Belllo University Teaching Hospital, Shika. A retrospective review. Ann Nigerian Med 2013; 7:20-23

Ajayi IA, Ajite KO, Omotoye OJ. Epidemiological survey of traumatic eye injury in a South western Nigerian tertiary hospital. Pak J Ophalmol 2014: 30(3)

Kelkar A, White WA, Kosoko-Lasoki O. Ocular manifestations of domestic violence: A case review. American journal of clinical medicine 2014.10(1): 40-50

Ajaiyeoba AI. Ocular injuries in Ibadan. Nig J Ophthal 1995; 3:23-25

Negrel AD. Magnitude of eye injuries worldwide. J Comm Eye health 1997; 10:49-64

Mieler WF. Ocular injuries: Is it possible to further limit the occurrence rate? Arch Ophthal 2001 1;119: 1712-1713

Jahangir T, Butt NH, Hamza U et al. Pattern of presentation and factors leading to ocular trauma. Pak J Ophthalmol 2011; 27: 96-102

Nelson CC. Review of management of eyelid trauma. Australian and New Zealand journal of ophthalmology 1991; 19(4)

Omolase CO, Omolade EO, Ogunleye OI, Omolase BO, Ihemedu CO, Adeosun OA. Pattern of ocular injuries in Owo, Nigeria. Journal of ophthalmic and vision research 2011; 6:114-118