Case 33: Delayed Zone I Open Globe Injury with Corneal Ulcer and Hypopyon

  • Yewlin E. Chee
  • Alice C. Lorch


Delay in wound closure of greater than 24 h is a main risk factor for traumatic endophthalmitis. Here, a case of a delayed presentation zone 1 open globe injury complicated by the presence of a corneal ulcer is presented. Techniques to close corneal wounds associated with a corneal ulcer and the management of eyes with delayed presentation and concern for endophthalmitis are discussed. Ultimately, the clinical course of this patient was prolonged due to a secondary suture abscess, but he recovered excellent visual acuity upon completion of his treatment.


Delayed presentation open globe Corneal ulcer Traumatic endophthalmitis Zone 1 injury Suture abscess 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Yewlin E. Chee
    • 1
  • Alice C. Lorch
    • 2
  1. 1.Vitreoretinal Surgery, Department of OphthalmologyUniversity of WashingtonSeattleUSA
  2. 2.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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