Abstract

Open globe injury presenting with globe collapse and hemorrhagic choroidal detachment (CD) is one of the most dreaded situations leading to phthisis. Some Ophthalmologists still consider enucleation of the injured eye in order to avoid possible risk of sympathetic ophthalmia.
Here we present a case of one eye globe perforation of a 46-year-old male, whose clinical examination revealed open sclerocorneal tunnel wound, anterior chamber hyphema, pseudophakia. B-scan revealed collapsed globe with 360 degree hemorrhagic choroidal detachment and CT-scan revealed 'Flat tyre' sign.
Sclerocorneal tear repair followed by a 2 stage surgery for haemorrhagic CD drainage with pars plana vitrectomy and closure under silicone oil tamponade was done, resulting in remarkable post op visual recovery with BCVA of 6/60 noted after 1 month.