Abstract

CAMPOS-MOLLO, E.; PEREZ-SANTONJA, J.J.  and  SAMPER-GIMENEZ, J.. Orbital penetrating wound by a bull horn. Arch Soc Esp Oftalmol [online]. 2007, vol.82, n.10, pp.645-648. ISSN 0365-6691.

Introduction: Bull horn injuries are severe lesions with a high risk of bacterial contamination, and are common in countries where people are fond of bullfighting and related spectacles. Case report: A 19-year-old man was referred with a penetrating wound in the superior left eyelid produced by a bull horn and resulting in a fracture of the orbital roof and a fat hernia. Prophylactic antibiotics and tetanus toxoid were administered and surgical reconstruction of the wound performed. Orbital cellulitis did develop, but this responded to systemic antibiotic therapy within a few days. Discussion: Successful treatment of this type of lesion requires early diagnosis, meticulous surgical exploration and appropriate use of prophylactic antibiotics and tetanus toxoid.

Keywords : Orbital wound; bull horn; orbit injury; penetrating injury; orbit.

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