- 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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