Rupture is the most severe form of open globe injuries after ocular trauma, not only related to the tissue pathologies that occur at the time of injury but also because of the post-injury destruction associated with the body’s normal healing response process. The diagnosis is usually straightforward because the wound is visible, often even to the naked eye. Still, treating it is a big challenge and should be dealt with by an expert ocular traumatologist who can address all the tissue problems. We present three cases of open globe injuries with ruptures and the comprehensive surgical strategy followed with pole-to-pole approach.

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