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Trauma
Marked descemet's folds and corneal edema following ocular blunt injury.

  • Is usually not sight-threatening injury.
  • Clinical features:
    • Symptoms: acute blurry vision, foreign body sensation, photophobia or ocular pain.
    • Signs:
      • May be isolated or associated with bruising or swelling of surrounding ocular tissues
      • Mild blunt trauma may cause epithelial disruption without stromal or endothelial damage
      • Severe blunt trauma may cause endothelial damage, Descemet's membrane tears with resulting severe corneal edema or laceration
  • Work up:
    • Thorough eye examination includes dilated fundus examination to rule out intraocular foreign body and damage to intraocular structures.
    • Seidel test to rule out open globe injury.
    • Ultrasonography.
    • Exam under general anesthesia may be necessary for exploration and/or repair of suspected rupture globe.
  • Management:
    • Eye patch or bandage contact lens for corneal abrasion.
    • Prophylactic topical antibiotics.
    • Topical steroids may be useful in cases of significant inflammatory reaction.
    • Hypertonic saline or 5% NaCl ointment or drops to resolve corneal edema.

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