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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 959-961

Bilateral blindness with a single bullet injury


1 Pediatric Ophthalmology and Strabismus Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Prof. Rohit Saxena
Pediatric Ophthalmology and Strabismus Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_380_22

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Gunshot injuries are a rising concern, which can have ocular involvement in almost 2% of cases. We present a case of a 35-year-old woman with accidental gunshot injury with no perception of light Oculus Uterque (OU). OD had disk pallor and OS, a repaired corneoscleral perforation. The bullet entered the left orbit perforating the left globe, crossed over to the opposite side, and exited through the right temple. Noncontrast computed tomography (NCCT) head revealed comminuted fractures of the roof, lateral and medial orbital walls. Multiple tiny bony fragments and foreign bodies were seen in the retrobulbar region of OD in relation to the optic nerve near the optic disk. This case highlights that gunshot injuries to the eye have high morbidity, but they are largely preventable as most injuries are unintentional, as was seen in this case. The priority should be to spread awareness and sensitize the masses regarding preventive factors.


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