Overview of Globe Rupture | Ophthalmology

Globe rupture

What is Globe rupture?

Globe rupture of the eyeball is a badly altered condition of the entire outer layer of the ocular membrane, origin by any blunt object or penetrating injury. This is the damaged state of the eyeball. Injury to the open globe can damage the cornea, sclera, or both. It is one of the most serious eye injuries. It ranges from a blunt wound to a penetrating wound, each with its own consequences.

Causes of Globe rupture

During a Globe rupture, the outer membranes of the eye are totally or partially compromised and the vitreous and / or aqueous humor drains through the rupture site, causing the eye to “deflate.”

Symptoms of Globe rupture

The most common symptoms of this problematic are the following:

  • Pain
  • Vision loss or blurred vision
  • Diplopia

Globe rupture Risks

Some common risks of a ruptured eyeball are:

  • Postoperative endophthalmitis
  • Exogenous endophthalmitis

Diagnosis of Globe rupture

Diagnosis of a ruptured globe is based on the history and clinical ophthalmologic examination, which usually consists of a slit lamp and funduscopic evaluation. Images are not reliable in diagnosing a ruptured eyeball, but are often obtained as an adjunct to the diagnosis.

Treatment forĀ Globe rupture

If the globe is clearly ruptured or suspected to be ruptured, care must be taken not to put any pressure on the eye when transporting it to the emergency room. Any crucified foreign object should be kept in the emergency room until assessed. Eye patches should not be used. A paper or foam cup can be taped to the affected eye until it touches the eye or any foreign object.

The patient should be given medication for nausea to prevent vomiting, which can increase eye strain. Pain medications and sedatives should be given as needed. Topical solutions should not be given if a globe rupture is suspected.

Antibiotics should be given to prevent infection of the inner part of the eye. Unfortunately, antibiotics given by IV penetrate poorly into the eye. Organisms such as Staphylococcus aureus and Staphylococcal epidermidis are common infections associated with these types of lesions. If there is an injury due to the bite, antibiotics should be given to protect it from cat bites and dog bites. Tetanus shot should be given if tetanus status is not up to date.

The patient should not be given anything by mouth and should see an ophthalmologist immediately with the idea of having surgery as soon as possible.

Medications should be given to prevent eye infections. Bacillus species, Staph aureus, pseudomonas, anaerobic, corynebacterium species, streptococcal species and gram-negative bacilli should have antibiotic coverage. Topical antibiotics are usually given after surgery.

Complications

After an eyeball rupture, complications such as exogenous endophthalmitis or infection of the deep tissues of the eye can occur. It occurs within hours of the division of the land. Yeast infections may not occur until weeks after the injury.

Prevention

Below are some of the measures that can be used to prevent eyeball rupture:

  • Wear goggles when using lawn care or metal working equipment.
  • Use protective glass screens when doing industrial work.
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