Case 46: Wound Leak After Open Globe Repair Requiring Corneal Glue and Re-suturing

Abstract

A 28-year-old man presented with a Zone I open globe injury and an intraocular metal foreign body in the left eye. The metal foreign body was removed and the open globe was repaired. At the end of the case a slow wound leak was noticed and a bandage contact lens was placed. On post-operative day 1 the anterior chamber was shallow and the wound leak was sealed with corneal glue. Two weeks later the glue came loose and the wound leak persisted necessitating repeat corneal glue. Eight weeks post-operatively, the glue loosened and was removed along with the underlying sutures, and a wound leak was still present. The patient was taken to the operating room where the wound edges and overlying epithelium were debrided and the wound was re-sutured. After re-suturing, the wound remained watertight. Ten weeks after re-suturing, the corneal sutures were removed without complications, with a final visual acuity of 20/15.