Advertisement

Case 37: Zone I/II/III Open Globe Injury with Orbital Fractures

  • Ashley A. Campbell
  • Eric D. Gaier
  • Alice C. Lorch
  • Yewlin E. Chee
Chapter

Abstract

Concomitant open globe injuries with facial fractures usually occur in the setting of high velocity, blunt trauma to the eye. In most cases, the visual prognosis is poor compared to other open globes without facial fractures. Here, a case is presented in which a young man sustained a Zone I/II/III open globe injury with associated facial fractures after being hit with a softball. He ultimately decided against secondary corneal and vitreoretinal surgery and retained light perception vision. Repair of the facial fractures was deemed unnecessary.

References

  1. 1.
    Vaca EE, Mundinger GS, Kelamis JA, Dorafshar AH, Christy MR, Manson PN, Rodriguez ED. Facial fractures with concomitant open globe injury: mechanisms and fracture patterns associated with blindness. Plast Reconstr Surg. 2013;131(6):1317–28.CrossRefPubMedGoogle Scholar
  2. 2.
    Gaier ED, Tarabishy S, Wolkow N, Gardiner M, Lefebvre DR, Grob S. Open globe injury associated with orbital fracture carries a poor prognosis. ARVO poster 2016.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ashley A. Campbell
    • 1
  • Eric D. Gaier
    • 2
  • Alice C. Lorch
    • 2
  • Yewlin E. Chee
    • 3
  1. 1.Department of OphthalmologyJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  3. 3.Vitreoretinal Surgery, Department of OphthalmologyUniversity of WashingtonSeattleUSA

Personalised recommendations