Related Experiment Video
Updated: Aug 4, 2026

Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
Severe penetrating ocular injury from ninja stars in two children
B H Jeng1, T L Steinemann, P Henry
1Cole Eye Institute, Cleveland Clinic Foundation, Ohio, USA.
Insights
Ninja star injuries in children can cause severe eye trauma, including corneal lacerations and cataracts. While one child recovered fully, another experienced lasting vision problems requiring surgery and ongoing treatment.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Ocular Injury
Background:
- Penetrating ocular trauma in children presents unique challenges due to the delicate nature of the pediatric eye.
- Unusual foreign objects, such as ninja stars, can cause significant and complex eye injuries.
Observation:
- Two pediatric cases of penetrating ocular trauma caused by ninja stars are presented.
- Case 1 involved scleral laceration, iris tissue loss, and vitreous hemorrhage with a favorable visual outcome.
- Case 2 presented with a large corneal laceration and traumatic cataract, necessitating corneal transplantation and resulting in long-term visual impairment.
Findings:
- Despite severe initial injury, prompt management can lead to excellent visual recovery in some cases of pediatric ocular trauma.
- Complex injuries, including corneal lacerations and traumatic cataracts, may require advanced surgical interventions like penetrating keratoplasty.
- Long-term complications such as amblyopia, strabismus, and elevated intraocular pressure can occur following severe pediatric eye trauma.
Implications:
- Highlights the potential for severe visual morbidity from unusual penetrating eye injuries in children.
- Emphasizes the importance of specialized ophthalmic care and timely surgical intervention for pediatric ocular trauma.
- Underscores the need for continued monitoring and management of potential long-term sequelae in affected children.
Abstract:
The authors describe two cases of penetrating ocular trauma in children resulting from ninja stars. In the first case, despite a scleral laceration, loss of iris tissue, and a vitreous hemorrhage, the child had a good result with a final best corrected visual acuity of 20/20. Unfortunately, the child in the second case did not fare as well. In this case, the child suffered a large corneal laceration and traumatic cataract. He ultimately required a penetrating keratoplasty, and he is currently being treated for amblyopia, strabismus, and elevated intraocular pressures. His best corrected visual acuity is 20/70.
Related Concept Videos
Angle Closure Glaucoma: Treatment
Photoreceptors and Visual Pathways

