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Case 42: Open Globe Rupture and Retinal Detachment with Retinal Incarceration from Baseball Injury

  • Avni P. Finn
  • Catherine J. Choi
  • Dean Eliott
Chapter

Abstract

A 56-year-old man was struck in the right eye by a baseball and presented with a Zone III open globe rupture. B-scan ultrasonography after initial globe repair revealed vitreous hemorrhage, retinal detachment, and retinal incarceration and the patient subsequently underwent vitreoretinal surgery. This case highlights principles of posterior globe closure and retinal detachment repair, specifically retinal incarceration, in cases of open globe trauma.

Keywords

Posterior rupture Retinal incarceration Retinectomy Retinal detachment Proliferative vitreoretinopathy 

References

  1. 1.
    Sevel D, Krausz H, Ponder T, Centeno R. Value of computed tomography for the diagnosis of a ruptured eye. J Comput Assist Tomogr. 1983;7(5):870–5.CrossRefPubMedGoogle Scholar
  2. 2.
    Ryan SJ, Allen AW. Pars plana vitrectomy in ocular trauma. Am J Ophthalmol. 1979;88(3 Pt 1):483–91.CrossRefPubMedGoogle Scholar
  3. 3.
    Coles WH, Haik GM. Vitrectomy in intraocular trauma. Its rationale and its indications and limitations. Arch Ophthalmol (Chicago, Ill 1960). 1972;87(6):621–8.CrossRefGoogle Scholar
  4. 4.
    Coleman DJ. Early vitrectomy in the management of the severely traumatized eye. Am J Ophthalmol. 1982;93(5):543–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Winthrop SR, Cleary PE, Minckler DS, Ryan SJ. Penetrating eye injuries: a histopathological review. Br J Ophthalmol. 1980;64(11):809–17.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Han DP, Mieler WF, Abrams GW, Williams GA. Vitrectomy for traumatic retinal incarceration. Arch Ophthalmol (Chicago, Ill 1960). 1988;106(5):640–5.CrossRefGoogle Scholar
  7. 7.
    Spiegel D, Nasemann J, Nawrocki J, Gabel VP. Severe ocular trauma managed with primary pars plana vitrectomy and silicone oil. Retina. 1997;17(4):275–85.CrossRefPubMedGoogle Scholar
  8. 8.
    Pennock S, Haddock LJ, Eliott D, Mukai S, Kazlauskas A. Is neutralizing vitreal growth factors a viable strategy to prevent proliferative vitreoretinopathy? Prog Retin Eye Res. 2014;40:16–34.CrossRefPubMedGoogle Scholar
  9. 9.
    Krader CG. Effective drug management of PVR remains unfulfilled goal. 2017. http://modernretina.modernmedicine.com/modern-retina/news/effective-drug-management-pvr-remains-unfulfilled-goal?page=0,2. Accessed 29 May 2017.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Avni P. Finn
    • 1
  • Catherine J. Choi
    • 2
  • Dean Eliott
    • 3
  1. 1.Vitreoretinal SurgeryDuke Eye CenterDurhamUSA
  2. 2.Bascom Palmer Eye InstituteMiamiUSA
  3. 3.Vitreoretinal SurgeryDepartment of Ophthalmology, Harvard Medical School, Massachusetts Eye and EarBostonUSA

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