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Cornea & External Diseases

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non Infectious
Corneoscleral Laceration

  • 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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