Case 48: Zone I/II/III Open Globe and Eyelid Lacerations from a Box Cutter with Post-Operative Wound Dehiscence
A 43-year-old man presented with a Zone I-II-III open globe injury of the left eye with associated facial lacerations from a box cutter knife. The patient underwent repair of this open globe injury first followed by repair of his eyelid and facial lacerations. Given his complex eyelid lacerations, Jaffe lid speculums were not able to be used for eyelid retraction and silk sutures were used through the eyelid margin to achieve appropriate exposure for repair. Post-operative follow up was complicated by a wound dehiscence after corneal suture removal. This complication can be avoided by leaving sutures in for an extended period of time in long or complex wounds and by careful patient education.