Case 9: Zone I/II Open Globe Injury from Metal Bearing

  • Eric D. GaierEmail author
  • Yoshihiro Yonekawa
  • Seanna Grob


A 56-year-old man presented with a Zone I-II open globe injury with uveal prolapse of the left eye after he was struck with metal bearing he was prying from the spindle of a boat trailer. The patient underwent surgical repair with repositioning of uveal tissue using an intraocular sweeping technique and reapproximation of the corneal limbus with interrupted nylon sutures. Post-operatively, vitreous hemorrhage resolved spontaneously without any vitreoretinal complications or interventions. Mydriasis, secondary to an iris sphincter tear and iridodialysis, caused symptomatic glare in the affected eye that was addressed with a tinted contact lens.


Corneal rupture Scleral rupture Uveal prolapse Iridodialysis Rigid gas permeable contact lens 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eric D. Gaier
    • 1
    Email author
  • Yoshihiro Yonekawa
    • 2
  • Seanna Grob
    • 1
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal SurgeryHarvard Medical School, Massachusetts Eye and Ear and Boston Children’s HospitalBostonUSA

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