Polished up.. probably going to try and give it a little bit more shine, but I like how this one came out!
Excited to pop this bad boy in my bust!
Stay tuned for coming photos of my sculpt I’m currently working on
. . #eyeball#ballmaking#artist#handmade#trauma#eye
After having been hit by a motor cycle, this five year old boy was referred to to Dr. Márcio Amaral, in the OMFS (Oromaxillofacial Surgery) team of João XXIII Hospital, Belo Horizonte, Brazil, presenting with an intact left eye luxation (dislocation) and a laceration above his left eyebrow. There was a loss of visual acuity, likely either due to the elevated intraocular pressure exerted upon the retina, or suggesting insult to the optic nerve. The globe’s movement was suppressed, leaving a complete limitation of omnidirectional extraocular motility.
Under the extensive eyebrow laceration, the surgeon identified some orbital fractures. Retrobulbar (“Retro” is a prefix meaning behind) hematoma drainage was necessary, and optic nerve avulsion (meaning the pulling or tearing away of) was confirmed in the orbital exploration. Orbital fracture were then reduced and fixed by a 1.5 mm titanium miniplate with screws.
Dr. Amaral repositioned the globe, stitched the eyebrow lacerations, and performed a temporary tarsorrhaphy, a procedure where the surgeon sutures the lateral and medial aspects of the eyelids to narrow the eyelid opening. Ultimately, Dr. Amaral had to replace the globe with an ocular prosthesis due to the optic nerve avulsion, but the boy is now healthy and normal.
To walk you through figures A through D:
Figures A & B were each taken during a 1 month postoperative follow up. The boy presented with no light perception, nor visual acuity, but had limited ocular movement. In Figure C the eye was eviscerated and removed at 3 months post-op due to the pain and unsatisfactory aesthetic results. In Figure D we can see the ocular prosthesis within the ocular cavity.
This was an excellent case, highlighting both the gruesome nature of trauma accidents with the rewarding satisfaction of saving a child’s identity. What is the most rewarding aspect of medicine in your opinion? Let me know in the comments below!