Case 35: Orbital Foreign Body with Concern for Open Globe Requiring Exploration

  • Isaiah GieseEmail author
  • Thanos D. Papakostas
  • Seanna Grob
  • John B. Miller


A 17-year-old male presented with an orbital foreign body, tunneled conjunctival laceration, and a fundus exam with pre-retinal hemorrhage following a projectile injury. The limited view of the retina prevented exclusion of an open globe injury and the patient was taken to the operating room for exploration where the globe was found to be intact. In cases of ocular trauma where a limited examination prevents definitive exclusion of an open globe injury, the patient should be taken to the operating room for exploration.


Open globe injury Intraorbital foreign body Orbital projectile Traumatic macular hole Commotio retinae 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Isaiah Giese
    • 1
    Email author
  • Thanos D. Papakostas
    • 1
  • Seanna Grob
    • 1
  • John B. Miller
    • 2
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal Surgery, Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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