title: Favorable outcome in open globe injuries with low OTS score.
abstract: OBJECTIVE
  Open globe eye injuries can have profound social and economic consequences. Here, we describe two cases of war and outdoor activity open globe eye injury where, despite a low OTS score, current microsurgical technology allowed for a favorable outcome.
  
  
  METHODS
  A 33-year-old Libyan soldier had been treated for an open-globe grenade blast trauma to his left eye, which showed light perception and OTS score 2. He had undergone a lensectomy and PPV with silicone oil tamponade. Surgical treatment included scleral buckling, cornea trephination, temporary Eckardt keratoprosthesis, PPV revision, intraocular lens (IOL) implantation, and corneal grafting. Six months later, his VA was improved to 20/70. CASE REPORT 2: A 35-year-old man presented with a corneal laceration in his left eye from a meat skewer, with marked hypotony and LP. After primary corneal wound closure, B-scan ultrasonography revealed massive vitreous hemorrhage (OTS score 2). The patient underwent open cataract extraction with IOL implantation, 23 gauge PPV, laser photocoagulation of the retinochoroidal laceration, and a gas tamponade. After three weeks, the patient underwent a 2nd 23G PPV due to a fibrinous reaction. Six month later, the patients exhibited 20/25 VA.
  
  
  CONCLUSIONS
  These cases confirm that even for patients with a low OTS and poor visual prognosis, an up-to-date surgery protocol may achieve visual results adequate for leading an autonomous daily life.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cillino
authors.forename: Lucia
authors.initials: L
authors.lastname: Ferraro
authors.forename: Alessandra
authors.initials: A
authors.lastname: Casuccio
authors.lastname: Cillino Salvatore
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000601:surgery*; D002387:Cataract Extraction; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008889:Military Personnel; D012591:Scleral Buckling; D012827:Silicone Oils / Q000627:therapeutic use; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000000981:diagnostic imaging
chemical_list: D012827:Silicone Oils