Case 43: Large Zone III Open Globe from a Finger Injury While Playing Basketball

  • Elizabeth J. RossinEmail author
  • Yewlin E. Chee
  • Peter B. Veldman
  • Dean Eliott


A 57-year-old man presented with a zone III open globe injury of the left eye after being struck with an opponent’s finger while playing basketball. He underwent uncomplicated repair of the open globe. B scan ultrasound on the following day revealed a total retinal detachment and suprachoroidal hemorrhage for which he was promptly referred to a vitreoretinal surgeon. Ten days later he underwent retinal detachment repair which involved a vitrectomy with extensive pre- and sub-retinal membrane peeling, a 360° retinectomy and silicone oil tamponade. His retina remained attached and his vision improved over the course of 2 year follow up. This case illustrates the importance of prompt referral to a vitreoretinal surgeon for management of complicated retinal detachment after trauma.


Open globe Ruptured globe Retina Retinal detachment Traumatic retinal detachment Hemorrhagic choroidal 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Elizabeth J. Rossin
    • 1
    Email author
  • Yewlin E. Chee
    • 2
  • Peter B. Veldman
    • 3
  • Dean Eliott
    • 4
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal Surgery, Department of OphthalmologyUniversity of WashingtonSeattleUSA
  3. 3.Cornea and Refractive Surgery, Department of Ophthalmology and Visual ScienceUniversity of ChicagoChicagoUSA
  4. 4.Vitreoretinal Surgery, Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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