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Suicide‐related perforating injury of globe with nail gun
Author(s) -
Rofail Marc,
Lee Lawrence R,
Lee Graham A,
Todd Brian
Publication year - 2005
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2005.00979.x
Subject(s) - medicine , visual acuity , surgery , perforation , orbit (dynamics) , optic nerve , vitrectomy , aphakia , ophthalmology , materials science , punching , engineering , metallurgy , aerospace engineering
A case is reported of nail gun injury due to suicide attempt involvingboth orbits, frontal lobe and abdomen, which resulted in an unusualposterior perforation of the left globe. Injury was inflicted witha total of eight nails. Three nails entered the left orbit, oneof which perforated the posterior aspect of the left globe. Onenail entered the right orbit involving the optic nerve and crossedthe midline to finish in the left sphenoid sinus. Three nails enteredthe frontal lobe near the midline and the final nail pierced theleft lobe of the liver. The left eye underwent primary repair, lensectomyand vitrectomy with silicone oil and achieved a visual acuity of 6/60,3 months post removal of oil with sutured posterior chamberintraocular lens. The right eye suffered traumatic optic neuropathyand currently has a visual acuity of 6/36 due to senilecataract formation. No other serious sequelae resulted from theother injuries and the patient has recovered from his episode ofdepression.