RUPTURED GLOBE &

PENETRATING OCULAR INJURY

dr Eunike Cahyaningsih,SpM,MARS
Corpus vitreous
A/v retina
Zones for closed globe injury. Zone I, injury
involves only conjuntivae, sclera, or cornea.
Zone II, injury
to structures in the anterior chamber including
the lens and
zonules. Zone III, injury to posterior structures
including
the vitreous, retina, optic nerve, choroid, and
ciliary body.
SYMPTOMS :

1.Pain
2.Decreased vision
3.History of trauma
CRITICAL SIGN

1,Ruptured Globe
-subconjunctival edema/hemorrhage
-abnormally deep anterior chamber
-hyphema
-limitation of extraocular motility
-intraocular contents may be outside of the globe

2.Penetrating Injury
- Fullthickness scleral or corneal laceration
-signs of ruptured globe
Subconjunctival hemorrhage
and chemosis
KEY POINTS
• A subconjunctival haemorrhage is
usually idiopathic
♦ as a result of even minor ocular trauma;
spontaneously
♦ hypertension or
♦ blood dyscrasia,
• Common causes of red eye are
conjunctivitis, keratitis, uveitis and acute
angle-closure glaucoma.
• Untreated angle-closure glaucoma blinds.
Extensive subconjunctival hemorrhage due to
trauma.
The examiner needs to consider the possibility of
globe rupture or laceration.
Treatment

1.Protect the eye with a shield

2.systemic antibiotics
3.Tetanus toxoid prn
4.Analgetica
5.surgical repair
P IT F A L L
The presence of subconjunctival
pigmentation
in association with a hemorrhage is very
suspicious of occult scleral rupture.
The examiner must obtain a complete
ocular history and perform an
examination on all patients presenting
with traumatic subconjunctival
hemorrhage to rule out occult scleral
wound or laceration with or without an
IOFB