Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003
A TURKEY hunter was attacked by a bobcat. His injuries included a ruptured globe with a 5-mm corneal laceration, 2 iris sphincter tears, and a ruptured anterior capsule with traumatic cataract (Figure 1). A B-scan ultrasound revealed mild vitreous debris without retinal detachment. His visual acuity OS was counting fingers at 2 ft. Additionally, scratches on his face and right arm were noted. Local and systemic antibiotic treatment was started (20 IU of immunoglobulin per kilogram of body weight), and rabies vaccination was administered immediately (intramuscular injection, repeated on days 3, 7, 14, and 28).1 This was followed by primary closure of the corneal laceration and an anterior chamber washout (Figure 2). One week later, the iris tears were repaired and the traumatic cataract was removed, and an intraocular lens was implanted, oriented 90° away from the anterior capsule extension (Figure 3). Three months postoperatively, his visual acuity was 20/50 OS uncorrected and 20/20-1 OS best-corrected. The patient showed no signs or symptoms of rabies infection.
Holzer MP, Solomon KD. Bobcat Bite Injury of the Eye and Ocular Adnexa. Arch Ophthalmol. 2003;121(6):918-919. doi:10.1001/archopht.121.6.918