Case 15: Zone II/III Open Globe due to Stab Wound from Knife Assault During Intimate Partner Violence
A healthy woman in her 40s presented with an open globe injury (OGI) of the left eye due to a penetrating stab wound inflicted by her domestic partner. Exam was significant for a laceration above the left eyebrow, CF vision, no obvious corneal or conjunctival lacerations, a deep anterior chamber compared to fellow eye, a pupil peaked superonasally, vitreous hemorrhage (VH) and retinal elevations concerning for retinal detachment. Surgical exploration confirmed a Zone II-III scleral laceration and a subfascial communication between the periocular space and the supra-brow laceration, which was felt to be the entry site. Social services and intimate partner violence resources were mobilized prior to discharge. Two weeks following the initial OGI repair, she underwent uncomplicated pars plana vitrectomy to clear the VH. No retinal detachments or tears were noted intraoperatively. Her final uncorrected visual acuity was 20/30.
KeywordsEye injuries Lacerations Wounds Stab Pupil Vitreous hemorrhage Vitrectomy Retina Spouse abuse
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