eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2014
vol. 9
 
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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
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:

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

  
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