Iatrogenic open globe eye injury following sinus surgery
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Updated: Aug 29, 2026
Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
Alessandro Castellarin1, Steven Lipskey, Paul Sternberg
1Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA. aacaste@emory.edu
Purpose:
To report a case of iatrogenic open globe eye injury occurring during endoscopic sinus surgery.
Design:
Case report and literature review.
Methods:
A 10-year-old boy presented with periorbital swelling and subconjunctival hemorrhage of the left eye following bilateral nasal adenoidectomy. Funduscopic examination showed evidence of a full-thickness open globe injury at the equator in the inferior nasal midperiphery.
Results:
The injury most likely was secondary to inadvertent perforation of the lamina papiracea with entrance into the orbit and subsequent penetration of the globe.
Conclusion:
Sinus surgery has been reported previously in association with severe orbital complications. We are unaware of previous reports of open globe injury following sinus surgery.
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