Advertisement

Case 39: Delayed Presentation Zone I Open Globe Injury at Site of Previous Trauma

  • Tavé van Zyl
  • Seanna Grob
Chapter

Abstract

A 31-year-old man presented with a Zone I open globe injury 2 days after blunt head trauma. Initial exam was significant for a 6.5 mm full thickness corneal wound, Seidel positive without provocation, and ingrowth of blood vessels from the limbus into the wound and surrounding corneal whitening. There were also posterior synechiae and sectoral iris atrophy inferior and posteriorly to the corneal wound suggesting a previous corneal injury at the site of new acute rupture. Intraoperatively the wound bled while suturing and the corneal tissue in this area was friable, consistent with delayed presentation and possible chronic intermittent low-grade inflammation or infection from a previous trauma. Post-operatively, the patient underwent staged suture removal at 6 and 8 weeks, respectively. His final best-corrected visual acuity was 20/20.

Keywords

Eye injuries Lacerations Corneal neovascularization Iris Transillumination Inflammation Debridement Counseling 

References

  1. 1.
    Chen SH, Pineda R II. Epithelial and fibrous downgrowth: mechanisms of disease. Ophthalmol Clin North Am. 2002;15(1):41–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Trief D, Andreoli M, Shah A, Yonekawa Y, Andreoli C. Outcomes and characteristics of open-globe injuries with delayed presentation. Invest Ophthalmol Vis Sci. 2013;54(15):4435.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

Personalised recommendations