An open globe injury is defined as a full thickness wound involving the corneo-scleral wall of the eye. This type of injury is typically caused either by blunt force, particularly to the anterio-lateral part of the orbit, or due to laceration by a foreign body.11, 16 While some open globe injuries are obvious with vitreous extrusion, a significant proportion is not readily apparent. Clues to an open globe injury include blood-stained tears, lid lacerations, presence of a subconjunctival hemorrhage, or hyphema. However, none of these are pathognomonic for globe rupture. Furthermore, in cases involving small high-velocity projectiles, there may be no external signs of perforation.11 CT evaluation for open globe injury has been shown to have a sensitivity and specificity of 75% and 93%, respectively.17 Ultrasound has a similar sensitivity, but subtle findings consistent with open globe injury such as scleral discontinuity are more readily identified using 2-mm axial high-resolution CT with reconstruction.