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Case 20: Zone I Open Globe Repair with Secondary Removal of Lens Using a Pars Plana Approach

  • Mohammad Dahrouj
  • Eric D. Gaier
  • Seanna Grob
  • Dean Eliott
Chapter

Abstract

A 54-year-old man presented with a limbus-to-limbus, stellate Zone I open globe injury of the left eye following a penetrating injury from projectile wooden material. The patient underwent repair of his open globe injury and required secondary lensectomy through pars plana approach 10 days later. The patient developed cystoid macular edema that improved with a long course of topical treatment, achieving a final visual acuity of 20/80+ with a rigid gas permeable contact lens.

Keywords

Cystoid macular edema Posterior lens capsule violation Lensectomy Aphakia Rigid gas permeable contact lenses 

References

  1. 1.
    Chuang LH, Lai CC. Secondary intraocular lens implantation of traumatic cataract in open-globe injury. Can J Ophthalmol. 2005;40(4):454–9.CrossRefPubMedGoogle Scholar
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    Grunauer-Kloevekorn C, et al. Contact lens fitting as a possibility for visual rehabilitation in patients after open globe injuries. Klin Monbl Augenheilkd. 2004;221(8):652–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Luo WL, Tong JP, Shen Y. Rigid gas-permeable contact lens for visual rehabilitation in aphakia following trauma. Clin Exp Optom. 2012;95(5):499–505.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mohammad Dahrouj
    • 1
  • Eric D. Gaier
    • 1
  • Seanna Grob
    • 1
  • Dean Eliott
    • 2
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal SurgeryDepartment of Ophthalmology, Harvard Medical School, Massachusetts Eye and EarBostonUSA

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