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Case 9: Zone I/II Open Globe Injury from Metal Bearing

  • Eric D. Gaier
  • Yoshihiro Yonekawa
  • Seanna Grob
Chapter

Abstract

A 56-year-old man presented with a Zone I-II open globe injury with uveal prolapse of the left eye after he was struck with metal bearing he was prying from the spindle of a boat trailer. The patient underwent surgical repair with repositioning of uveal tissue using an intraocular sweeping technique and reapproximation of the corneal limbus with interrupted nylon sutures. Post-operatively, vitreous hemorrhage resolved spontaneously without any vitreoretinal complications or interventions. Mydriasis, secondary to an iris sphincter tear and iridodialysis, caused symptomatic glare in the affected eye that was addressed with a tinted contact lens.

Keywords

Corneal rupture Scleral rupture Uveal prolapse Iridodialysis Rigid gas permeable contact lens 

References

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    Vora GK, Haddadin R, Chodosh J. Management of corneal lacerations and perforations. Int Ophthalmol Clin. 2013;53(4):1–10.CrossRefPubMedGoogle Scholar
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    Zheng B, Shen L, Walker MK, et al. Clinical evaluation of rigid gas permeable contact lenses and visual outcome after repaired corneal laceration. Eye Contact Lens. 2015;41(1):34–9.CrossRefPubMedGoogle Scholar
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    Kanpolat A, Ciftci OU. The use of rigid gas permeable contact lenses in scarred corneas. CLAO J. 1995;21(1):64–6.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eric D. Gaier
    • 1
  • Yoshihiro Yonekawa
    • 2
  • Seanna Grob
    • 1
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal SurgeryHarvard Medical School, Massachusetts Eye and Ear and Boston Children’s HospitalBostonUSA

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