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How to manage complications in the eye years after injury?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello Doctor,

I have a son who was stabbed in the eye at the age of two. He is now 20 years old. Over the years, we have seen several specialists, and in the end, we were told by a doctor that there is nothing else they can do to help him, as he is completely blind in the injured eye. It has now been 18 years, and he is starting to have complications.

Kindly advise.

Hello,

Welcome to iCliniq.com.

I understand your concern.

When an eye has been severely injured in early childhood and remains blind long-term, it can still develop problems later in life, even if it seems fine.

  1. Could you share more about the complications he’s experiencing now?

  2. For example, is he feeling pain, pressure, or discomfort in the blind eye?

  3. Has the appearance of the eye changed, such as becoming cloudy, shrunken, red, or swollen?

  4. Is there any discharge, or is it interfering with the healthy eye?

Any signs of sympathetic ophthalmia, a rare inflammation that can affect the unaffected eye, should also be considered. Some of the most common long-term complications in a blind eye due to trauma include phthisis bulbi (where the eye shrinks and becomes painful), chronic inflammation or glaucoma (which can lead to pain and, in rare cases, risk to the other eye), and cosmetic or socket discomfort, which can cause emotional and functional stress.

Sympathetic ophthalmia, while rare, is serious and requires monitoring because it may threaten the vision of the healthy eye. Even if vision cannot be restored, managing pain, addressing cosmetic concerns, and protecting the healthy eye remain essential. In some cases, if the blind eye causes significant discomfort or poses a risk, enucleation (removal of the eye) followed by a custom prosthetic may be considered to improve quality of life. If you can describe the symptoms he is having now, I would be glad to help guide you on what might be happening and what kind of specialists or treatments could still be helpful, even after all these years.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed byiCliniq medical review team

Published At June 26, 2025
Reviewed AtJuly 4, 2025

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