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Case 1: Linear Corneal Laceration from Scissors

  • Natalie Wolkow
  • Ankoor S. Shah
  • Seanna Grob
Chapter

Abstract

A 6-year old girl presented with a Zone I open globe injury of the right eye from a pair of scissors. Initial evaluation at an outside hospital was notable only for an irregularly shaped pupil, triggering transfer to MEE for further evaluation, where an open globe injury was confirmed. The patient had a 4-mm corneal laceration inferiorly. Intraoperatively iris was found to be trapped in the corneal laceration, requiring use of filtered air and an iris spatula to release the iris tissue. Immediate post-operative visual acuity was poor due to surgically-induced astigmatism from the corneal sutures. Amblyopia therapy was initiated in the post-operative period to maintain optimal visual potential while the corneal laceration healed. Sutures were removed in the operating room at 5 weeks post-operatively. Final visual acuity was 20/15 in both eyes.

Keywords

Pediatric open globe injury Zone I open globe injury Amblyopia Iris incarceration Cornea Linear laceration 

Supplementary material

Video 6.1

. Case I_Zone I laceration open globe injury (MP4 84117 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Department of OphthalmologyHarvard Medical School, Boston Children’s Hospital and Massachusetts Eye and EarBostonUSA

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