Traffic accident with ocular trauma with open globe and Terrien's marginal degeneration
case report
DOI:
https://doi.org/10.70313/2718.7446.v17.n04.374Keywords:
ocular trauma, Terrien's marginal degeneration, motorcycle accident, traffic accident, public health, prevention of blindnessAbstract
Objective: to describe a clinical case of ocular trauma with open globe in a patient with Terrien's marginal degeneration, who suffered an accident involving a pedestrian and a motorcycle, to describe the initial examination as well as the clinical-surgical management and follow-up one year after the accident.
Case Report: 31-year-old woman who consulted for presenting decreased visual acuity, pain and bleeding in the right eye following trauma in an accident between a motorcycle and a pedestrian. Ophthalmological examination revealed open globe trauma (zone I-II) in the right eye (OD). In the previous anamnesis, the patient reported a history of Terrien's marginal degeneration, which was observed in both eyes. The patient had hand movement vision in OD. Due to the characteristics of her injury, it was explained to her that she would have little chance of recovering visual acuity based on the ocular trauma scale “OTS”. A reparative surgery of the corneoscleral lesion was performed, which was successful, since the patient retained stable postoperative vision of 20/40 in OD.
Conclusion: Although an ocular trauma with an open globe in the context of a traffic accident is a severe condition, especially in a patient with Terrien's marginal degeneration, an adequate initial assessment together with timely therapeutic management can preserve vision, as was observed in the case presented.
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