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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