Case 15: Zone II/III Open Globe due to Stab Wound from Knife Assault During Intimate Partner Violence

  • Tavé van ZylEmail author
  • Demetrios Vavvas
  • Seanna Grob


A healthy woman in her 40s presented with an open globe injury (OGI) of the left eye due to a penetrating stab wound inflicted by her domestic partner. Exam was significant for a laceration above the left eyebrow, CF vision, no obvious corneal or conjunctival lacerations, a deep anterior chamber compared to fellow eye, a pupil peaked superonasally, vitreous hemorrhage (VH) and retinal elevations concerning for retinal detachment. Surgical exploration confirmed a Zone II-III scleral laceration and a subfascial communication between the periocular space and the supra-brow laceration, which was felt to be the entry site. Social services and intimate partner violence resources were mobilized prior to discharge. Two weeks following the initial OGI repair, she underwent uncomplicated pars plana vitrectomy to clear the VH. No retinal detachments or tears were noted intraoperatively. Her final uncorrected visual acuity was 20/30.


Eye injuries Lacerations Wounds Stab Pupil Vitreous hemorrhage Vitrectomy Retina Spouse abuse 


  1. 1.
    Brodowska K, Stryjewski TP, Papavasileiou E, Chee YE, Eliott D. Validation of the retinal detachment after open globe injury (RD-OGI) score as an effective tool for predicting retinal detachment. Ophthalmology. 2017;124(5):674–8. Scholar
  2. 2.
    Rahman I, Maino A, Devadason D, Leatherbarrow B. Open globe injuries: factors predictive of poor outcome. Eye (Lond). 2005;20(12):1336–41. Scholar
  3. 3.
    Beck SR, Freitag SK, Singer N. Ocular injuries in battered women. Ophthalmology. 1996;103(1):148–51. Scholar
  4. 4.
    Clark TJ, Renner LM, Sobel RK, et al. Intimate partner violence: an underappreciated etiology of orbital floor fractures. Ophthalmic Plast Reconstr Surg. 2014;30(6):508–11. 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

Personalised recommendations