JG is a 25-year-old Honduran man who was struck in the eye during a machete fight when he was 18 years old. He had been taken to the emergency room of the government hospital in a city that was several hours distance from his village. It was a Friday evening and the emergency room had closed and he was left at the doorway until Monday morning when he was admitted in shock after los- ing over half of his total blood volume. He was ken to surgery where his facial lacerations were repaired and he was given several units of blood donated by his relatives. No primary repair was performed of a central corneal laceration.