- Corneoscleral defects may result from severe blunt trauma, penetrating
injuries or secondary to tissue necrosis following inflammations or
infections.
- Work up:
- Rule out intraocular foreign body.
- Thorough ophthalmic examination to evaluate intraocular damage.
- Management:
- Aim: to restore and maintain the integrity of the globe, avoid
further intraocular damage, and prevent permanent corneal scarring
and astigmatism.
- Small corneoscleral defect without uveal prolapse maybe treated
with close observation and prophylactic antibiotics.
- Large wounds with gape should be surgically repaired either
by primary closure or by patch grafting.
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