A Case of a Dog Bite Causing Avulsion of the Upper Eyelid

We are presenting a rare case of a 71 year old male patient, who reported to the Casualty unit for a bite by a stray dog in the ocular region. The patient was on anticoagulants and so bled profusely. The right eye was normal but the left eye showed avulsion of the upper eyelid along with a full thickness cut lacerated wound of the medial and lateral canthi. The visual acuity was reduced to finger counting at 1 meter. The extraocular movements were restricted. The anterior segment appeared to be normal. There was massive subconjunctival haemorrhage along with periorbital oedema. The pupil was semi-dilated and fixed. The nasolacrimal passage was normal. Patient was given anti rabies vaccine and immunoglobulins and also primary suturing of the wound was done. An open globe injury was ruled out by B scan and so patient was managed conservatively with good outcome. After one month of treatment with the conservative management the periorbital oedema decreased, the extraocular movements were restored and the visual acuity improved.