Abstract
A 31-year-old man presented with a Zone III open globe injury of the left eye following severe blunt trauma from a hockey stick. The vision was hand motions (HM), intraocular pressure (IOP) was 5, and there was an afferent pupillary defect (APD) by reverse. During surgical exploration, the rupture was identified at the equator, approximately 15 mm posterior to the limbus. The wound ran posterior to the lateral rectus muscle insertion, which was temporarily disinserted to provide adequate exposure for wound closure. Postoperative B-scan revealed a funnel retinal detachment (RD) , for which he underwent complex repair with 360 relaxing retinectomy and silicone oil tamponade. On the most recent follow-up, 8 months after injury, his vision was HM, IOP 14, and his remaining retina remained attached under oil.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Basic and clinical science course, AAO 2014-2015, Section 2, Chapter 2. p. 37–81.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
van Zyl, T., Grob, S. (2018). Case 12: Zone III Rupture Requiring Muscle Take-Down After Hockey Stick Injury. In: Grob, S., Kloek, C. (eds) Management of Open Globe Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-72410-2_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-72410-2_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72409-6
Online ISBN: 978-3-319-72410-2
eBook Packages: MedicineMedicine (R0)