Case 48: Zone I/II/III Open Globe and Eyelid Lacerations from a Box Cutter with Post-Operative Wound Dehiscence

  • Seanna Grob
  • Alice C. Lorch


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.


Wound dehiscence Wound leak Wound healing Eyelid lacerations Corneal laceration 


  1. 1.
    Kong GYX, Henderson RH, Sandhu SS, et al. Wound-related complications and clinical outcomes following open globe injury repair. Clin Exp Ophthalmol. 2015;43(6):508–13.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Seanna Grob
    • 1
  • Alice C. Lorch
    • 1
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

Personalised recommendations