Case 4: Zone I Pediatric Open Globe Management

  • James A. StefaterEmail author
  • Ankoor S. Shah
  • Seanna Grob


A 4-year-old boy presented with a Zone I open globe injury of the left eye. The child was playing with other children at a campground when he was hit directly in the left eye by a wooden stick. The patient was seen at another hospital and transferred to Massachusetts Eye & Ear (MEE) due to concern for open-globe injury. On presentation, the patient was found to have a large, vertical, corneal laceration extending from 12 to 6:30 o’clock with iris prolapse and concern for possible lens violation. The patient was taken to the operating room for exploration and repair of his corneal laceration. During the post-operative period, vision gradually improved, and the lens capsule was noted to be intact. A small posterior subcapsular cataract was noted in the initial post-operative period. Sutures were removed intraoperatively after 1 month due to faster wound healing in most children compared to adults, and the vision continued to improve. The patient followed up with a pediatric and corneal specialist closer to home and continued standard amblyopia therapy with good results.


Zone I open globe injury Pediatric open globe 

Supplementary material

Video 9.1

Case 4_Zone I Open Globe Injury (MP4 44063 kb)

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • James A. Stefater
    • 1
    Email author
  • Ankoor S. Shah
    • 2
  • Seanna Grob
    • 1
  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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