Forensic Medicine · Medico-Legal Autopsy and Postmortem Changes (Thanatology)

A body is brought for postmortem examination 4 hours after death. Both eyes were found wide open at the scene and have remained uncovered since. The expected state of the cornea is:

  • A Completely transparent and glistening
  • B Fully opaque and milky white
  • C Dull and hazy, losing its lustre
  • D Sunken with collapse of the anterior chamber
Correct answer: C. Dull and hazy, losing its lustre

Explanation

When the eyes remain open, evaporation of tear film causes loss of corneal lustre within the first hour and haziness within roughly 2 to 3 hours. Complete milky opacity takes about 10 to 12 hours or more, so at 4 hours the cornea is dull and hazy rather than fully opaque. If the eyelids are closed, the cornea stays clear much longer and opacity is delayed to about a day. Sunken eyes with collapsed chambers belong to late dehydration or decomposition, not 4 hours.

Reference: Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology, 7th ed.

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