Ocular Cat Bite Injury: A Case Report and Literature Review

Abstract

Ocular injury related to cat bites is rare, and no proper guidelines have been suggested for the treatment of such injuries. We report a rare case of zone II penetrating ocular injury secondary to a cat bite. A 49-year-old lady presented with left eye pain following a cat bite over the left eye, which occurred four hours prior to the presentation. Immediate primary closure with intravitreal antibiotic injections was given. Systemic and topical antibiotic treatments were administered. Presenting visual acuity was hand motion, which improved to 20/20 at six months follow-up. Throughout this period, there were no signs of endophthalmitis. Prompt and effective antibiotic administration with early surgical intervention contributed to a good visual prognosis in this case.

Keywords: cat-bite; intravitreal injections; ocular trauma; prolapse uvea tissue; sclera puncture.

Figure 1. Left eye on presentation

(A) Laceration wound over the left eyelid. (B) The puncture wound at 10 o’clock is shown by the arrow. The image shows hyphema inferiorly in the anterior chamber.

Figure 2. Left eye post-surgery

(A) Day 1 post-surgery. (B) Month 1 post-surgery.