A 50 year old African American male with no past medical history presented to the Emergency Department status post assault. History revealed use of a bleach-containing cleaning solution splashed in his face during assault. Physical exam was positive for a strong smell of bleach. Ophthalmic exam revealed bilateral periorbital edema as well as chemosis and conjunctival injection of the left eye. His visual acuity was 20/70 OD and 20/100 OS. The patient was diagnosed with an alkali chemical burn of the left eye and irrigation was initiated with placement of a Morgan Lens. Due to other injuries, Computed Tomography Imaging of the brain was performed. The findings are displayed in the Figures 1 and 2. There were no acute intracranial abnormalities or other orbital pathologic findings. Reconstructive 3D imaging of the CT scan was performed outlining placement of Morgan Lens.
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Ensor et al. (2016) studied this question.