Case 44: Severe Zone I/II Open Globe Injury with Stellate Wound Repair Followed by Enucleation

  • Grayson W. ArmstrongEmail author
  • Tavé van Zyl
  • Seanna Grob


A 22-year-old man presented with a severe, complex Zone I-II open globe injury of the left eye after a fall. The patient underwent repair of this open globe injury in addition to associated facial lacerations. The patient’s postoperative course was complicated by a funnel retinal detachment and significant post-operative pain. The patient was offered further surgical intervention for the retinal detachment as well as the possibility of a corneal transplant in the future, but the patient was not interested in further surgical intervention and ultimately underwent enucleation.


Enucleation Stellate corneal laceration Painful eye 


  1. 1.
    Ahmed Y, Schimel AM, Pathengay A, et al. Endophthalmitis following open-globe injuries. Eye (Lond). 2012;26(2):212–7.CrossRefGoogle Scholar
  2. 2.
    Sullivan P. The open globe: Surgical techniques for the closure of ocular wounds. London: Eyelearning Ltd; 2013.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Grayson W. Armstrong
    • 1
    Email author
  • Tavé van Zyl
    • 1
  • Seanna Grob
    • 1
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

Personalised recommendations