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Eye Injury 

Eye Injury
Eye Injury
Acute Care Casebook

Michael Mohseni


The case is an example of traumatic globe rupture. Most cases occur after penetrating trauma though blunt trauma may also be implicated. Rupture should be suspected in the setting of vision loss, any globe deformity, and eye pain. A search for any concomitant facial or intracranial injuries should be pursued. Once globe rupture is identified, supportive measures should be established to prevent any worsening or extrusion of eye contents. This includes avoiding manipulation or tonometry of the eye, minimizing Valsalva, placing a rigid eye shield, and appropriate analgesia. Definitive treatment is dictated by the consulting ophthalmologist and likely involves surgical repair.

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