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Case 40: Iridodialysis Repair Following a Zone I Open Globe Injury

  • Natalie Wolkow
  • Seanna Grob
  • Roberto Pineda
Chapter

Abstract

A 64-year old woman sustained a blunt injury to the left eye resulting in a large Zone I limbus to limbus corneal laceration with uveal extrusion. The uveal tissue was reposited into the eye during repair of the open globe injury . After open globe repair her visual acuity remained poor due to uveal tissue that was obscuring the visual axis and a cataract. Five months post-operatively, she underwent a second surgery, at which time cataract extraction with intraocular lens implant, iridoplasty and a corneal limbal relaxing incision were performed. In subsequent months, she also underwent YAG capsulotomy, resulting in a final best corrected visual acuity of 20/40.

Keywords

Blunt trauma Iridodialysis repair Limbus to limbus Uveal extrusion 

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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
  2. 2.Cornea and Refractive Surgery, Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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