Camel bites are uncommon. They are more common during the rutting season where male camels become more aggressive. Herein, we report a unique case of a 25-year-old man who was repeatedly bitten to his face and neck by an aggressive camel that resulted in left eye evisceration, parotid duct, and facial nerve injury. To our knowledge, Globe rupture caused by a camel bite has not been previously reported.

The indications of point-of-care ultrasound (POCUS) in the management of multiple trauma patients have been expanding. Although computed tomography (CT) scan of the orbit remains the gold standard for imaging orbital trauma, ultrasound is a quick, safe, and portable tool that can be performed bedside. Here we report two patients who had severe eye injuries with major visual impairment where surgeon-performed POCUS was very useful. One had a foreign body injury while the other had blunt trauma. POCUS was done using a linear probe under sterile conditions with minimum pressure on the eyes. Ultrasound showed a foreign body at the back of the left eye globe touching the eye globe in the first patient, and was normal in the second patient. Workup using CT scan, fundsocopy, optical coherence tomography, and magnetic resonance imaging of the orbits confirmed these findings. The first patient had vitreous and sub retinal haemorrhage and a full thickness macular hole of the left eye, while the second had traumatic optic neuropathy. POCUS gave accurate information concerning severe eye injuries. Trauma surgeons and emergency physicians should be trained in performing ocular ultrasound for eye injuries.

Background: There are no studies focused on the types and management of camel-related craniofacial injuries. Objectives: We aimed to analyze the pattern of injuries that required surgical management and their specific operative treatment. Methods: We prospectively collected data of all patients who were admitted to Al Ain Hospital with camel-related craniofacial injuries that were treated operatively during the period of January 2015 to January 2020. Results: Eleven patients were studied; all were males having a median (range) age of 29 (19–66) years. Falling from a camel was the most common mechanism of injury (45.5 %) followed by camel bite (36.4 %). The most common injured region was the middle third of the face, which accounted for 56.5% of the bony fractures. Zygomatico-maxillary complex fractures were present in 60% of patients who fell while riding a camel. The most common surgical procedure performed in our patients was an open reduction with internal fixation (54.5%). There was no mortality. Conclusions: camel-related craniofacial injuries are complex. The main mechanism of injury is falling from a camel on the face causing fractures of the zygomatico-maxillary complex. These fractures usually need open reduction with internal fixation. Taking safety precautions may help in injury prevention. Keywords: Camel; face injury; head injury; surgery.

Background: A medically fit and well 34-year-old female patient initially presented to the emergency department at Queens Medical Centre following an accident in which she fell from her bike and hit the left orbit with handlebar. Plain film radiographs (OM10o and 30o) showed no evidence of any facial fractures. Clinically, she had no functional problems apart from diplopia on lateral gaze associated with left eye. A two-week review was planned by ophthalmology. Objectives: Patient attended eye causality department 7 days after the initial trauma complaining of ongoing restriction of movement. Ophthalmological examination revealed restricted ocular motility and diplopia on all directions of gaze particularly downwards. Methods: A computed tomography (CT) scan performed to investigate the cause of restriction revealed an orbital roof fracture. Following discussion with neurosurgery a magnetic resonance imaging (MRI) was arranged to exclude abscess. Findings: CT showed blowout fracture through the superamedial left orbital cavity with displaced fragments projected 2 cm into the left frontal lobe. Subsequent MRI scan showed abscess formation around the left frontal lobe. The patient had urgent bifrontal craniotomy and drainage of the abscess. Due to risk of infection, no roof repair was performed. Conclusion: This case emphasised the importance of multidisciplinary approach in trauma cases; in this scenario the patient was managed by the maxillofacial surgical team, neurosurgery and ophthalmology. This case also highlights the need for consideration of mechanism of injury in light of clinical findings. A penetrating injury should always make the surgeon consider and exclude underlying bony injury.