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Open globe injuries: Emergent evaluation and initial management

Authors
Christopher M Andreoli, MD
Matthew F Gardiner, MD
Section Editors
Richard G Bachur, MD
Evelyn A Paysse, MD
Maria E Moreira, MD
Deputy Editor
James F Wiley, II, MD, MPH

INTRODUCTION

A traumatic breakdown in the integrity of the wall of the eye (sclera or cornea) is known as an open globe injury. Prompt recognition of open globe injuries and referral to an ophthalmologist are essential to maximize visual restoration and outcome.

The approach to the patient with an open globe injury is summarized in a rapid overview (table 1).

DEFINITION

Open globe injuries are described by mechanism and then by anatomic site [1,2].

Open globe rupture — Open globe rupture occurs following blunt eye injury, typically at the site of greatest structural weakness near the equator and directly behind the insertion of the rectus muscles. (picture 1) [1]. (See 'Pathophysiology' below.)

Open globe laceration — Open globe laceration refers to a penetrating injury to the eye by a sharp object or projectile and is further subclassified as penetrating (entry wound but no exit wound) or perforating (entry and exit wounds) [1]. Intraocular foreign body (IOFB) injuries refer to a foreign body present anywhere inside the interior of the globe and are grouped separately because studies have shown that they have a different prognosis (picture 2) [3,4].

                              

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Literature review current through: Nov 2016. | This topic last updated: Wed Jun 22 00:00:00 GMT+00:00 2016.
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