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Case 28: Zone I/II Open Globe Injury with Corneal Patch Graft and Corneal Glue

  • Michael Lin
  • Katherine E. Talcott
  • Alice C. Lorch
Chapter

Abstract

A 53-year-old man was struck in the right eye by barbed wire that he was cutting under tension while working on a fence. He was found to have Zone I-II open globe injury and underwent surgical repair. He was initially taken to an outside hospital in the late afternoon before being transferred to MEE for further management of his eye trauma. Between the time of his initial injury and open globe repair (which was approximately 17 h), his cornea became increasingly necrotic, making direct suture repair difficult. This necessitated a corneal patch graft, corneal glue, cultures, pathology, and intracameral antibiotics. The glue was subsequently removed over several clinic visits, and the patient healed well.

Keywords

Open globe Corneal patch graft Corneal glue Corneal necrosis Intracameral antibiotics 

References

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Michael Lin
    • 1
  • Katherine E. Talcott
    • 2
  • Alice C. Lorch
    • 1
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal SurgeryWills Eye HospitalPhiladelphiaUSA

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