A Case Report of Corneoscleral Laceration with Open Globe Injury and Iris Prolapse
Correspondence should be addressed to Kristin Lewis, MD, MA at klewis6@hs.uci.edu
DOI: https://doi.org/10.5070/M5.52326
ABSTRACT:
Open globe injury is defined as a full-thickness injury through all anatomical layers of the eye. Prolapse or herniation of the iris may be observed at presentation of an open globe injury, and iris prolapse is not well represented in the literature. This case report details the case of a 48-year-old male presenting with three hours of right eye pain after sustaining a traumatic injury due to a foreign body. Examination of the right eye revealed a 2 mm x 1 mm laceration to the 4-5 o’clock position with iris prolapse and plugging. The affected eye also revealed a teardrop-pupil with associated corectopia in the inferonasal direction and a 2 mm hyphema. The patient was diagnosed with a globe rupture and underwent same-day surgical intervention. This report emphasizes the use of fluorescein eye exams and explains the rationale against the measurement of intraocular pressures or removal of an obvious foreign body. The care provided represents strict adherence to the principles of management in ocular trauma and a positive outcome in which a patient’s vision and visual acuity were relatively maintained.
Topics: Ophthalmologic trauma, open globe injury, globe rupture, iris prolapse, corneoscleral laceration.
