Management of Open Globe Injuries PDF
Preview Management of Open Globe Injuries
Management of Open Globe Injuries Seanna Grob Carolyn Kloek Editors 123 Management of Open Globe Injuries Seanna Grob · Carolyn Kloek Editors Management of Open Globe Injuries Editors Seanna Grob Carolyn Kloek Department of Ophthalmology Department of Ophthalmology Harvard Medical School Harvard Medical School Massachusetts Eye and Ear Massachusetts Eye and Ear Boston, MA Boston, MA USA USA ISBN 978-3-319-72409-6 ISBN 978-3-319-72410-2 (eBook) https://doi.org/10.1007/978-3-319-72410-2 Library of Congress Control Number: 2018935190 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by Springer Nature, under the registered company Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Contents Part I Management of Open Globe Injuries 1 Classification of Open Globe Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Edith R. Reshef and Matthew F. Gardiner 2 Pre-Operative Management of Open Globe Injury . . . . . . . . . . . . . . . . . 11 Victoria S. North and Matthew F. Gardiner 3 Pre-Operative Counseling and Intraoperative Considerations and Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Seanna Grob, Angela Turalba, and Alice C. Lorch 4 Post-Operative Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Seanna Grob, Angela Turalba, and Alice C. Lorch 5 Controversies in Open Globe Injury Management . . . . . . . . . . . . . . . . . 47 Marisa Gobuty Tieger, Carolyn Kloek, and Alice C. Lorch Part II Case-Based Approach to Open Globe Injuries 6 Case 1: Linear Corneal Laceration from Scissors . . . . . . . . . . . . . . . . . . 61 Natalie Wolkow, Ankoor S. Shah, and Seanna Grob 7 Case 2: Linear Corneal Laceration from Broken Glass . . . . . . . . . . . . . 73 Grayson W. Armstrong, James A. Stefater, and Yoshihiro Yonekawa 8 Case 3: Stellate Corneal Laceration from a Motor Vehicle Accident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Yvonne Wang, Natalie Wolkow, and Seanna Grob 9 Case 4: Zone I Pediatric Open Globe Management . . . . . . . . . . . . . . . . 93 James A. Stefater, Ankoor S. Shah, and Seanna Grob v vi Contents 10 Case 5: Limbus to Limbus Corneal Laceration from Nail Gun Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Rohini Rao, John B. Miller, and Seanna Grob 11 Case 6: Dehiscence of Penetrating Keratoplasty from Blunt Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Emma Davies and Yoshihiro Yonekawa 12 Case 7: Zone II Open Globe Injury from Cell Phone . . . . . . . . . . . . . . 123 K. Matthew McKay, Eric D. Gaier, Seanna Grob, and John B. Miller 13 Case 8: Extracapsular Cataract Extraction Wound Rupture . . . . . . . . 135 Mohammad Dahrouj, Tavé van Zyl, Lucy H. Young, and Seanna Grob 14 Case 9: Zone I/II Open Globe Injury from Metal Bearing . . . . . . . . . . 145 Eric D. Gaier, Yoshihiro Yonekawa, and Seanna Grob 15 Case 10: Zone I/II Open Globe Injury from Blunt Trauma with a Wrench . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Huy V. Nguyen, Durga S. Borkar, John B. Miller, and Seanna Grob 16 Case 11: Zone III Open Globe Injury from Fall . . . . . . . . . . . . . . . . . . 163 Jay Wang, Seanna Grob, and Dean Eliott 17 Case 12: Zone III Rupture Requiring Muscle Take-Down After Hockey Stick Injury . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Tavé van Zyl and Seanna Grob 18 Case 13: Zone II/III Laceration from a Cat Claw . . . . . . . . . . . . . . . . . 187 Natalie Wolkow, Seanna Grob, and John B. Miller 19 Case 14: Penetrating Zone II/III Open Globe Injury from a Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Durga S. Borkar, Dean Eliott, and Seanna Grob 20 Case 15: Zone II/III Open Globe due to Stab Wound from Knife Assault During Intimate Partner Violence . . . . . . . . . . . . . 205 Tavé van Zyl, Demetrios Vavvas, and Seanna Grob 21 Case 16: Zone I/II/III Open Globe Injury with Retinal Strike Site and Post-operative Strabismus . . . . . . . . . . . . . . . . . . . . . . . 215 Benjamin Jastrzembski, Katherine E. Talcott, Seanna Grob, Dean Eliott, and Ankoor S. Shah 22 Case 17: Zone I Open Globe Injury with Primary Lens Removal . . . . 229 Rohini Rao and Seanna Grob 23 Case 18: Delayed Presentation Zone I Open Globe Injury with Traumatic Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 Tavé van Zyl and Seanna Grob Contents vii 24 Case 19: Zone I Open Globe Injury with Traumatic Cataract Requiring Secondary Lens Extraction in a Pediatric Case . . . . . . . . . 253 Zeba A. Syed, Seanna Grob, and Ankoor S. Shah 25 Case 20: Zone I Open Globe Repair with Secondary Removal of Lens Using a Pars Plana Approach . . . . . . . . . . . . . . . . . . 265 Mohammad Dahrouj, Eric D. Gaier, Seanna Grob, and Dean Eliott 26 Case 21: Zone I Open Globe Injury with Anterior Foreign Body from a Pencil Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 Benjamin Jastrzembski, Natalie Wolkow, Seanna Grob, and Ankoor S. Shah 27 Case 22: Zone I/II Open Globe Injury with Anterior Metallic Wire Foreign Body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285 Durga S. Borkar and Seanna Grob 28 Case 23: Zone I Open Globe Injury with Foreign Body Extending Through the Cornea, Lens, and into Vitreous . . . . . . . . . . . . . . . . . . . 295 Karen W. Jeng-Miller, Daniel Learned, and John B. Miller 29 Case 24: Perforating Zone I and III Open Globe Injury with Traumatic Cataract, Iris Loss, and Metallic Foreign Body Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303 J. Daniel Diaz, Miin Roh, Yoshihiro Yonekawa, Roberto Pineda, and Dean Eliott 30 Case 25: Open Globe Injury with Posterior Foreign Body . . . . . . . . . 313 Safa Rahmani and John B. Miller 31 Case 26: Tissue Loss in Open Globe Injuries: A Case of an Open Globe Requiring Corneal Patch Graft . . . . . . . . . 325 Jonathan C. Chou, Peter B. Veldman, and Seanna Grob 32 Case 27: Zone I Open Globe Injury Requiring Corneal Glue . . . . . . 337 Catherine J. Choi and Alice C. Lorch 33 Case 28: Zone I/II Open Globe Injury with Corneal Patch Graft and Corneal Glue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 Michael Lin, Katherine E. Talcott, and Alice C. Lorch 34 Case 29: Traumatic Evisceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355 Natalie Homer, Seanna Grob, Katherine E. Talcott, and Daniel R. Lefebvre 35 Case 30: Traumatic Enucleation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367 Liza M. Cohen, Alice C. Lorch, and Michael K. Yoon 36 Case 31: Delayed Presentation Zone I/II Open Globe Injury . . . . . . . 377 J. Daniel Diaz, James A. Stefater, and Seanna Grob viii Contents 37 Case 32: Delayed-Presentation Zone I/II Open Globe Injury Requiring Corneal Glue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385 Seanna Grob, Shizuo Mukai, and Katherine E. Talcott 38 Case 33: Delayed Zone I Open Globe Injury with Corneal Ulcer and Hypopyon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393 Yewlin E. Chee and Alice C. Lorch 39 Case 34: Globe Injury with Concurrent Intracranial Injury . . . . . . . 403 Seanna Grob, Yoshihiro Yonekawa, Alison Callahan, Yewlin E. Chee, Carolyn Kloek, David Wu, Dean Eliott, and John B. Miller 40 Case 35: Orbital Foreign Body with Concern for Open Globe Requiring Exploration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 Isaiah Giese, Thanos D. Papakostas, Seanna Grob, and John B. Miller 41 Case 36: Bilateral Open Globe Injury Stemming from an Assault . . 425 Tomasz P. Stryjewski, Tavé van Zyl, John B. Miller, and Seanna Grob 42 Case 37: Zone I/II/III Open Globe Injury with Orbital Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435 Ashley A. Campbell, Eric D. Gaier, Alice C. Lorch, and Yewlin E. Chee 43 Case 38: Self-sealing Open Globe Injury . . . . . . . . . . . . . . . . . . . . . . . 443 Kristine Lo, Danielle Trief, and Yewlin E. Chee 44 Case 39: Delayed Presentation Zone I Open Globe Injury at Site of Previous Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 451 Tavé van Zyl and Seanna Grob 45 Case 40: Iridodialysis Repair Following a Zone I Open Globe Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461 Natalie Wolkow, Seanna Grob, and Roberto Pineda 46 Case 41: Zone I Open Globe Injury with Retained Corneal Foreign Body and Lens Capsule Violation . . . . . . . . . . . . . . . 473 Lisa A. Cowan, Catherine J. Choi, Katherine E. Talcott, and Seanna Grob 47 Case 42: Open Globe Rupture and Retinal Detachment with Retinal Incarceration from Baseball Injury . . . . . . 487 Avni P. Finn, Catherine J. Choi, and Dean Eliott 48 Case 43: Large Zone III Open Globe from a Finger Injury While Playing Basketball . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 499 Elizabeth J. Rossin, Yewlin E. Chee, Peter B. Veldman, and Dean Eliott Contents ix 49 Case 44: Severe Zone I/II Open Globe Injury with Stellate Wound Repair Followed by Enucleation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509 Grayson W. Armstrong, Tavé van Zyl, and Seanna Grob 50 Case 45: Endophthalmitis After Open Globe Injury Repair . . . . . . . 519 Katherine E. Talcott, Yewlin E. Chee, Roberto Pineda, and John B. Miller 51 Case 46: Wound Leak After Open Globe Repair Requiring Corneal Glue and Re-suturing . . . . . . . . . . . . . . . . . . . . . . 527 Natalie Wolkow, Katherine E. Talcott, and Seanna Grob 52 Case 47: Zone I/II Open Globe Repair with Post-Operative Elevated Intraocular Pressure . . . . . . . . . . . . . . 541 Jonathan C. Chou, Veena Rao, and Seanna Grob 53 Case 48: Zone I/II/III Open Globe and Eyelid Lacerations from a Box Cutter with Post-Operative Wound Dehiscence . . . . . . . . 551 Seanna Grob and Alice C. Lorch 54 Case 49: Corneal Ulcer Associated with Sutures After Zone I/II Open Globe Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 Liza M. Cohen and Katherine E. Talcott 55 Case 50: Sympathetic Ophthalmia After Open Globe Repair . . . . . . . 571 Cindy Ung, Katherine E. Talcott, Shizuo Mukai, and Lucia Sobrin Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 579 Editors, Associate Editors, and Contributors Editors Seanna Grob, M.D., M.A.S. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Carolyn Kloek, M.D. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Associate Editors Christopher M. Andreoli, M.D. Vitreoretinal Surgery, Atrius Health and Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Yewlin E. Chee, M.D. Vitreoretinal Surgery, Department of Ophthalmology, University of Washington, Seattle, WA, USA Dean Eliott, M.D. Vitreoretinal Surgery, Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Matthew F. Gardiner, M.D. Emergency Ophthalmology Services, Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Alice C. Lorch, M.D., M.P.H. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA Joan W. Miller, M.D. Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear and Massachusetts General Hospital, Boston, MA, USA xi
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