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Case 14: Penetrating Zone II/III Open Globe Injury from a Knife

  • Durga S. Borkar
  • Dean Eliott
  • Seanna Grob
Chapter

Abstract

A 31-year-old man presented with a Zone II-III open globe injury of the left eye. The patient was using a fishing knife which then projected from his hand and hit his left eye. The patient underwent repair of this open globe injury. Although he had a significant penetrating injury, the patient had an excellent visual outcome. Penetrating injuries often have better visual outcomes than significant blunt ocular trauma. This patient’s postoperative course was complicated by a peripheral choroidal rupture; however, given the location, it did not impact his visual acuity.

Supplementary material

Video 19.1

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References

  1. 1.
    Agrawal R, Ho SW, Teoh S. Pre-operative variables affecting final vision outcome with a critical review of ocular trauma classification for posterior open globe (Zone III) injury. Indian J Ophthalmol. 2013;61(10):541–5.Google Scholar
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    Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye (Lond). 2006;20(12):1336–41.CrossRefGoogle Scholar
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    Ament CS, Zacks DN, Lane AM, et al. Predictors of visual outcome and choroidal neovascular membrane formation after traumatic choroidal rupture. Arch Ophthalmol. 2006;124(7):957–66.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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