Acute Chemical Eye Injury as Result of an Assault: Clinical and Forensic Approach

Abstract

Introduction: Chemical injuries represent a significant health concern, characterized by trauma inflicted by corrosive substances, including both acidic and alkaline agents. Chemical trauma to the eye is particularly critical due to its potential for high morbidity and irreversible blindness, necessitating immediate medical intervention. Understanding clinical aspect of chemical eye injury is crucial, as it not only impacts clinical outcomes but also informs forensic management strategies. Method: Case reports on chemical eye injury case causing by an assault. In-depth study about the case based on clinical aspect of the disease and its management in forensic. Results: Presented male; 56 years old suffered from chemical burns on both eyes causing by suspected acid liquid. The acid was poured on the victim by his biological son. Examination shows limbal ischemia was 270o accompanied by corneal erosion in the right eye. Visual acuity test shows a decrease in vision for both eyes. Litmus examination of the right eye showed a pH of 6 – 7. Case management involves collaboration between clinical management by the eye department and legal management correlated to the assault by the forensic department. Conclusion: In a case of chemical assaults to the eyes, clinical management and prognosis of the injury suffered by patient will determine the severity of injury. This in turn, will be one of the considerations for the judges to decide.