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Letter
Traumatic enucleation with chiasmal damage: magnetic resonance image findings and response to steroids
  1. B Parmar,
  2. B Edmunds,
  3. G Plant
  1. Eye Department, St Thomas’s Hospital, Lambeth Palace Road, London SE1 7NH, UK
  1. Correspondence to: B Parmar; parmabina{at}hotmail.com

https://doi.org/10.1136/bjo.86.11.1317

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    Gouging has been reported throughout history and this case demonstrates it is still encountered in modern times. Its impact on visual function extends beyond the loss of an eye because of concomitant psychological morbidity.1

    Case report

    We present a case report of a patient who suffered a traumatic enucleation. Our patient is 24 year old security manager who, while trying to prevent youths from harassing passengers on a bus, was assaulted by one of them. The attacker grabbed the patient from behind and attempted to insert his index fingers into each orbit, successfully on the right and the right eye was gouged out (Fig 1). He also sustained a minor head injury …

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