Zara Eye Clinic

25/08/2026

14/08/2026

A case of facial trauma with a periocular laceration requiring repair, associated with multiple facial fractures involving the nasal bones, nasal septum, right maxillary sinus and right ethmoid sinus.

Interestingly, the CT brain showed no acute intracranial abnormality.

For eye-care professionals, facial trauma demands a careful ocular and periocular assessment, not just a review of the CT brain.

🔎 Key considerations include:
• Visual acuity and pupillary assessment
• Extraocular movements and diplopia
• Globe integrity and anterior segment examination
• Periorbital soft-tissue injury
• Orbital/facial fractures and associated complications

A normal CT brain does not mean a normal eye.
In facial trauma, always assess the eye.

12/08/2026

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06/08/2026

Accidental superglue (Fevi Kwik) exposure to the eye is a true ocular emergency. But it can be managed safely with prompt treatment.

In this case, the adhesive was carefully removed, restoring eyelid opening and protecting the eye from further damage.

If glue or any chemical enters the eye, avoid forcefully pulling the eyelids apart and seek immediate ophthalmic care.

06/08/2026

The patient underwent successful chalazion surgery for a persistent eyelid lump that did not respond to conservative treatment.

The procedure is quick, minimally invasive, and aimed at restoring both comfort and normal eyelid appearance.

31/07/2026

Ocular Herpes Zoster (Herpes Zoster Ophthalmicus) – An Ophthalmic Emergency

A 14-year-old patient presented with sticky eye discharge, watering, and photophobia, Painful, burning vesicular rash over the right forehead and nose for 3 days.

Clinical findings:
• Vesicular lesions confined to one side, not crossing the midline
• Tenderness over the affected dermatome
• No evidence of secondary bacterial infection
• Slit-lamp examination: Corneal scarring with uveitis

Management: Systemic antiviral therapy
- Lubricating eye drops
- Topical corticosteroids (under ophthalmologist supervision).

Differential diagnoses -
- Herpes simplex virus (HSV).
- Impetigo
- Allergic/contact dermatitis
- Varicella

Take-home message:
Herpes Zoster Ophthalmicus is an ocular emergency. Early recognition, prompt antiviral treatment, and urgent ophthalmology referral are essential to prevent corneal damage, uveitis, and permanent vision loss.

30/07/2026

A patient presented with a history of ocular trauma from a vegetative foreign body, complaining of reduced vision.

Visual Acuity:Left eye
👁️ 6/60;N18, improving to 6/18 with pinhole.

On slit-lamp examination, the cornea showed evidence of a traumatic wound with an irregular, inferiorly peaked pupil directed toward the site of injury. This appearance raises strong suspicion of iris incarceration (iris plugging a corneal wound) following a penetrating corneal injury. Such injuries may become self-sealed, but they still require urgent specialist evaluation because of the risk of infection, permanent corneal scarring, traumatic cataract, secondary glaucoma, and vision loss.

Vegetative eye injuries deserve special attention. Besides mechanical damage, they carry a higher risk of fungal keratitis, which can threaten vision if diagnosis and treatment are delayed.

This patient was referred for comprehensive ophthalmic evaluation and further management.

Clinical Pearl:
A peaked or teardrop-shaped pupil following ocular trauma should always raise suspicion of a penetrating globe injury until proven otherwise.

Take-home message:
✔️ Never ignore an eye injury caused by sticks, leaves, branches, or agricultural material.
✔️ Do not rub the eye or attempt to remove embedded material yourself.
✔️ Seek immediate ophthalmic care—early diagnosis and treatment can be sight-saving.

27/07/2026

Patient care and counseling

26/07/2026

A 4 year old child presented following facial trauma with significant periorbital swelling and bruising. Such injuries require a thorough eye examination to rule out vision-threatening conditions including orbital fractures, hyphema, retinal injury, optic nerve damage, or globe trauma.
Early assessment can make a critical difference in preserving vision.

*If you or your child sustains an eye injury, do not ignore it. Seek prompt eye care.*

_Photo shared with appropriate consent._

15/07/2026