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Open globe injuries are a significant cause of permanent visual impairment and ocular morbidity worldwide. Prompt assessment of the type and extent of the injury is critical to ensure timely management.
What is globe rupture (open globe injury)? Open globe injury (often referred to simply as “an open globe”) is the term for an eyeball injury where trauma has caused a full-thickness cut or defect in the wall of your eye.
This topic will discuss the clinical features, evaluation, and management of patients with suspected open globe injuries. An overview and approach to other eye injuries in the emergency department is provided separately.
Globe rupture is the common term used to describe all potential types of open globe injuries. Two primary mechanisms can disrupt the integrity of the globe: penetration, perforation, or laceration and rupture due to blunt force.
Open globe injuries are a significant global cause of visual loss, including unilateral and bilateral blindness.
An open globe injury (OGI) involves a full-thickness defect in the eyewall, comprised of the sclera and cornea, resulting from penetrating or blunt trauma. An open globe is a vision-threatening ophthalmic emergency and should be immediately examined by an ophthalmologist.
Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity.
Tetanus prophylaxis is indicated for open globe injuries. Operative repair typically requires globe exploration, removal of any foreign bodies, layered closures of the sclera and cornea, and injection of intravitreal antibiotics and/or antifungal agents under general anesthesia.
Open globe injuries (OGIs) are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity.
Open-globe injuries (also called globe rupture, globe laceration, globe penetration, or globe perforation) are full-thickness eye-wall wounds requiring urgent diagnosis and treatment. [1]