Case 17: Zone I Open Globe Injury with Primary Lens Removal

  • Rohini RaoEmail author
  • Seanna Grob


A 47-year-old man presented 2 days after suffering a zone I open globe injury to the right eye. Initial exam revealed a sealed corneal laceration, but a shallow anterior chamber with an opacified lens, secondary to violation of the anterior lens capsule from the injury. He was taken to the operating room for repair of the corneal laceration and removal of the traumatic cataract. The point of anterior capsule injury was identified just posterior to the corneal laceration and was incorporated in the capsulorrhexis. The corneal laceration was secured with interrupted 10-0 nylon sutures. After successful traumatic cataract removal, the patient was left aphakic. During the post-operative period, corneal sutures were removed slowly to ensure stable wound healing. The patient was eventually referred to the contact lens service where he was fitted with a contact lens, resulting in 20/20 vision.


Traumatic cataract Primary lens removal Zone 1 open globe Capsulorrhexis in trauma Contact lens overrefraction 


  1. 1.
    Trief D, Andreoli M, Shah A, Yonekawa Y, Andreoli C. Outcomes and characteristics of open-globe injuries with delayed presentation. Invest Ophthalmol Vis Sci. 2013;54:4435.Google Scholar
  2. 2.
    Kong GYX, et al. Wound-related complications and clinical outcomes following open globe injury repair. Clin Exp Ophthalmol. 2015;43:508–13.CrossRefPubMedGoogle Scholar
  3. 3.
    Andreoli CM, et al. Low rate of endophthalmitis in a large series of open globe injuries. Am J Ophthalmol. 2009;147:601–608.e2.CrossRefPubMedGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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