Multi-procedure management in an eyeglasses-related open globe injury

Piotr Skopiński; Małgorzata Woronkowicz; Ewa Langwińska-Wośko; Magdalena Korwin; Wojciech Kołodziejczyk; Anna Maria Ambroziak

doi:10.5114/wiitm.2013.40104

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abstract:

Case report

Multi-procedure management in an eyeglasses-related open globe injury

Piotr Skopiński

,

Małgorzata Woronkowicz

,

Ewa Langwińska-Wośko

,

Magdalena Korwin

,

Wojciech Kołodziejczyk

,

Anna Maria Ambroziak

Videosurgery Miniinv 2014; 9 (1): 101–106

DOI: https://doi.org/10.5114/wiitm.2013.40104

Online publish date: 2014/01/23

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We present a case of successful multi-procedure management of a patient with an open globe injury. A 47-year-old man sustained an injury to his left eye caused by glass fragments of his own spectacles shattered while he was protecting an unknown woman from physical assault at a bus stop. Over a span of 65 months the patient underwent multiple procedures including primary wound repair, penetrating keratoplasty combined with extracapsular cataract extraction, neodymium : YAG laser capsulotomy, and laser-assisted subepithelial keratectomy (LASEK), and had a successfully treated episode of corneal graft rejection. This sequence of treatment substantially improved his left eye vision from hand movements at the time of admission to 0.9–0.5 × 90 at the last follow-up nearly 10 years after the trauma. Proper initial surgical management of an open globe injury can create the possibility for virtually complete vision restoration.

keywords:

Multi-procedure management in an eyeglasses-related open globe injury

Piotr Skopiński , Małgorzata Woronkowicz , Ewa Langwińska-Wośko , Magdalena Korwin , Wojciech Kołodziejczyk , Anna Maria Ambroziak

open globe injury, eyeglasses-related injury, ocular trauma score, classification and regression tree

Piotr Skopiński

,

Małgorzata Woronkowicz

,

Ewa Langwińska-Wośko

,

Magdalena Korwin

,

Wojciech Kołodziejczyk

,

Anna Maria Ambroziak