Chee, Yewlin E.Kanoff, Justin M.Eliott, Dean2018-04-192016Chee, Yewlin E., Justin M. Kanoff, and Dean Eliott. 2016. “Remarkable visual recovery after severe open globe injury.” American Journal of Ophthalmology Case Reports 3 (1): 34-35. doi:10.1016/j.ajoc.2016.06.001. http://dx.doi.org/10.1016/j.ajoc.2016.06.001.http://nrs.harvard.edu/urn-3:HUL.InstRepos:35981971Purpose To describe a case of remarkable visual recovery after severe open globe injury. Observations We present a case of a 70-year-old man with an open globe injury with no light perception vision before and after primary repair of his ruptured globe and before secondary vitreoretinal surgery to repair a total retinal detachment with a 360° giant retinal tear and retinal incarceration in a posterior scleral wound who proceeded to recover vision to the 20/60 pinhole to 20/50 level. Conclusions and importance Poor presenting acuity is a known risk factor for poor visual outcome after open globe injury. We hypothesize this remarkable visual recovery could be attributable to the presence of a massive choroidal hemorrhage and limited intraocular hemorrhage elsewhere. In rare cases, vision can improve from the no light perception level after secondary vitreoretinal surgery.en-USOcular traumaRetinal detachmentVitreoretinal surgeryJournal Article2018-04-1910.1016/j.ajoc.2016.06.001