Open Globe Injuries from a Baseball Bat

In this video, Dr. Sidney Schechet and colleagues manage a patient who was hit by a baseball bat, resulting in orbital fractures, an open globe and retinal injuries. Two weeks after repairing an 11-mm limbal-scleral laceration, he had bare light perception vision, a traumatic cataract, dense vitreous hemorrhage and retinal detachment on B-scans. During surgery, surgeons performed a pars plana lensectomy, aspirated the blood and flattened the retina using PFO. At postoperative day 1, the patient’s vision was 20/200 (aphakic, oil). By postoperative week 1, his retina showed remarkable improvement and he had a pinhole vision of 20/70.

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