Case 31: Delayed Presentation Zone I/II Open Globe Injury

Abstract

A 28-year-old man presented with a Zone I and II open globe injury of the left eye. Following workplace trauma, the patient presented to an outside urgent care facility and was diagnosed with a corneal abrasion. Four days later, continued worsening of his blurry vision prompted an outside hospital emergency room visit. The patient was ultimately transferred to MEE and underwent surgical repair for his delayed presentation open globe injury of his left eye. This case highlights the importance of maintaining a high level of suspicion of an open globe injury in the setting of trauma. Self-sealing corneal wounds can present in a delayed fashion and may be missed if obvious findings such as subconjunctival hemorrhage or uveal prolapse are not present.