title: Multi-procedure management in an eyeglasses-related open globe injury.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland ; Department of Histology and Embryology, Biostructure Center, Medical University of Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Skopiński
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Woronkowicz
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Langwińska-Wośko
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Korwin
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kołodziejczyk
authors.affiliation: Department of Ophthalmology, Medical University of Warsaw, Poland ; Faculty of Physics, University of Warsaw, Poland.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Ambroziak
keywords: classification and regression tree; eyeglasses-related injury; ocular trauma score; open globe injury
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