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Case 11: Zone III Open Globe Injury from Fall

  • Jay Wang
  • Seanna Grob
  • Dean Eliott
Chapter

Abstract

An 80-year-old woman presented with a Zone III open globe injury of the right eye with associated suprachoroidal hemorrhage and total retinal detachment from a fall. The patient initially presented with 360-degree bullous subconjunctival hemorrhage and dense vitreous hemorrhage prompting surgical exploration and identification of the posterior rupture. The patient underwent repair of this open globe injury and then followed up for a retinal evaluation. Subsequently, the patient underwent drainage of the suprachoroidal hemorrhage and repair of the total retinal detachment.

Supplementary material

Video 16.1

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References

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    Meier P, Wiedemann P. Massive suprachoroidal hemorrhage: secondary treatment and outcome. Graefes Arch Clin Exp Ophthalmol. 2000;238:28–32. http://www.ncbi.nlm.nih.gov/pubmed/10664049. Accessed 13 June 2017.CrossRefPubMedGoogle Scholar
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    Stryjewski TP, Andreoli CM, Eliott D. Retinal detachment after open globe injury. Ophthalmology. 2014;121:327–33. http://www.ncbi.nlm.nih.gov/pubmed/24011994. Accessed 13 June 2017.CrossRefPubMedGoogle Scholar
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    Eliott D, Stryjewski TP, Andreoli MT, Andreoli CM. Smoking is a risk factor for proliferative vitreoretinopathy after traumatic retinal detachment. Retina. 2017;37(7):1229–35. http://www.ncbi.nlm.nih.gov/pubmed/27787448. Accessed 13 June 2017.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal SurgeryDepartment of Ophthalmology, Harvard Medical School, Massachusetts Eye and EarBostonUSA

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