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Rupture of the Eye after Bomb Explosion

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Rupture of the Eye after Bomb Explosion

DOI: 10.3207/1028151231

The situation of rupture of both eye balls concerned both eyes after a bomb explosion as a criminal attack. The patient had “perception of light” in both eyes. One eye was primarily enucleated. The other eye was reconstructed as shown here. This is meant as an example of successful reconstruction in an assumingly hopeless situation and as a reason against primary enucleation at the time of emergency surgery. Since there was no ciliary body and thus permanent aqueous insufficiency the eye was filled with silicone oil permanently. It needed no retinal revision since 15 years. The temporary keratoprothesis was replaced by a corneal transplant which was available from our eye bank at the time of primary surgery. Otherwise the temporary keratoprothesis can be left in place until a donor cornea is available for up to three days.

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Author: Bernd Kirchhof
Submitted: 29/07/2009
Published: 14/08/2009
Views: 4071

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