Abstract
A 40-year-old man presented with concern for open globe injury in the right eye after his nail gun malfunctioned. He was found to have an 8.2-cm nail traversing the lateral orbit and penetrating the right frontal lobe. He was urgently evaluated by neurosurgery and subsequently underwent removal of the nail by a team including neurosurgery, oculoplastic surgery, and ocular trauma. Upon exploration of the globe, the patient was found to have a partial thickness scleral laceration with an injury to the lateral rectus muscle, which were repaired. Post-operatively, he was found to have a dilated examination concerning for sclopetaria, chorioretinal rupture. He later developed a retinal detachment and required several retinal surgeries due to recurrent retinal detachment before achieving a stable eye exam.
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Grob, S. et al. (2018). Case 34: Globe Injury with Concurrent Intracranial Injury. In: Grob, S., Kloek, C. (eds) Management of Open Globe Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-72410-2_39
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DOI: https://doi.org/10.1007/978-3-319-72410-2_39
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