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PurposeIn modern medicine forceps‐induced birth trauma to the eye is a rare clinical event. Forceps injury to the cornea occurs during complicated forceps delivery. The break in Descemet's membrane is the most common complication.MethodsInterventional case report showing the rupture of Descemet's membrane due to a complicated forceps delivery.ResultsA 2 days‐old boy was referred for severe and diffuse corneal edema. Medical history was significant for forceps delivery. On examination, he was found to have a rupture of the Descemet's membrane. Conservative treatment and application of hypersomolar solution was decided. Corneal edema was resolved in three months. Actually the cornea remained clear but persists a residual corneal astigmatism of 6D.ConclusionsThe application of the forceps can cause accidental rupture of the cornea at the level of the Descemet's membrane. The edema resolves spontaneously within a few weeks or months eventually leaving the visible edges of the break and a clear cornea. Rupture of Descemet's membrane is not presented as an Ophtalmologic urgency but it′s crucial to follow these patients because failure to intervene leads to amblyopia or ‘lazy eye’.

PurposeOcular damage after electric injury is a rare complication. The most commonly described damages are cataract, papillitis, and more rarely vascular complications. Optic nerve and retina have a low resistance, what can lead easily to their damage, affected by ischemia resulting from coagulation and necrosis from vascular structures.MethodsWe report two cases of middle aged, otherwise healthy men, who suffered an episode of retinal vein occlusion, both occurring following a low‐voltage shock. Both patients came to the Emergency department complaining a decreased visual acuity without any systemic damage due to the electric injury.ResultsBoth patients were diagnosed of a retinal vein occlusion and underwent intravitreal therapy with corticosteroids and antiangiogenic drugs. They were followed for 4 and 5 years and kept a visual acuity of 0.2 and 0.8, respectively.ConclusionsOphthalmologists should be aware of an infrequent complication such as retinal vein occlusion when receiving a patient who has suffered an electric injury.

PurposeOrbital cellulitis and preseptal cellulitis are the major infections of the ocular adnexal and orbital tissues. Orbital cellulitis is an infection of the soft tissues of the orbit, posterior to the orbital septum.The purpose of this text is to point out sickle‐cell disease as an important risk factor in a 2‐year‐old boy with sinusitis.MethodsWe evaluated a 2‐year‐old boy with sickle‐cell disease and sinusitis treated with oral amoxicillin (80 mg/kg/day). He presented a remarkable proptosis, intense ophthalmoplegia and conjunctival chemosis, with a temperature of 39°C and leukocytosis with left shift. We treated him with clindamycin 30 mg/kg, cefotaxime 200 mg/kg and prednisolone IV.ResultsAxial image CT scan demonstrated sinusitis of the left ethmoid sinus. Furthermore, there was a left sided subperiosteal abscess between the medial wall of the left orbit and the left medial rectus muscle. Due to the bad evolution and the CT scan image, the sinus was drainage in a surgical procedure under general anesthesia. Appropriate patient evolution was achieved without the need for additional therapy.ConclusionsPatients with sickle‐cell anemia show anincreased risk of severe bacterial infections due to loss of functioning spleen tissue. Daily penicillin prophylaxis is the most commonly used treatment during childhood. Orbital cellulitis can result in orbital and intracranial complications. Blindness may occur secondary to elevated intraorbital pressure. This is the reason we must control the patient at least daily and evaluate the antibiogram. Finally, when medical treatment is not working and there is an elevated intraorbital pressure with involvement of the eyeball, the surgery cannot be postponed.