A case of globe rupture in the context of internal concealment “body packing” and concomitant abuse of cocaine in the Bronx

Main Article Content

Andrés E. Guerrero Criado, MD
Shaina N. Kumar, MD

Abstract

Introduction
To describe the history, examination, and management of a Bronx patient with a ruptured globe who amid ophthalmic evaluation admitted to ingesting, and internally concealing cocaine.
Report
A 58-year-old man presented to a Bronx emergency department after an assault with a fist to the right eye. A “pupillary irregularity” prompted an ophthalmology consultation. The affected eye demonstrated a pupil peaked superonasally, hand motion visual acuity, extensive bullous subconjunctival hemorrhage in all quadrants, and dense vitreous hemorrhage. Intraocular pressure was 4 mm Hg in the right eye and 20 mm Hg in the left eye. During the evaluation, the examiner noted worsening uncooperative agitation and mental status changes. Upon questioning, the patient admitted to coercively ingesting packaged cocaine. Following general surgery, gastroenterology, and anesthesia clearance, globe exploration/repair revealed a 4 mm scleral laceration superotemporally 13 mm posterior to the limbus.
Conclusion
We aim to raise awareness of the ophthalmologist’s role in caring for the victims of dehumanizing and coercive drug packing found in modern-day narcotraffic. Here, an intimidating assault produced a catastrophic ophthalmic emergency, an open globe. Our population is disproportionally exposed to the harmful effects of drug trafficking, therefore, thorough interviewing, and safe, expeditious globe reparation is paramount to protect sight and empower the lives of our patients.

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How to Cite
1.
Criado AEG, Kumar S. A case of globe rupture in the context of internal concealment “body packing” and concomitant abuse of cocaine in the Bronx. Digit J Ophthalmol. 2024;30. Accessed July 21, 2024. https://djo.harvard.edu/index.php/djo/article/view/1129
Section
Abstracts

References

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