Globe Rupture
Basics
Description
Description
- A full-thickness corneal or scleral injury owing to trauma
- Blunt trauma/globe rupture:
- Causes an abrupt rise in intraocular pressure diffusely
- Subsequent rupture of the eye either opposite the point of impact or at the weakest points:
- Extraocular muscle insertion
- Corneoscleral junction
- Limbus, where the sclera is thinnest
- Penetrating injury/globe laceration:
- Occurs with sharp objects or projectiles injuring the sclera or anterior eye directly
- Most commonly anterior and involving the cornea – the bony orbit protects the globe laterally and posteriorly
- Posterior injury can occur with fracture of the bony orbit or with penetrating eyelid/eyebrow injuries
- Prognosis worse with:
- Larger lacerations
- Posterior injuries
- Blunt injury
- Intraocular foreign body, especially if made of organic material
- Vitreous extrusion
- Lens damage
- Hyphema
- Retinal detachment
- Poor visual acuity at presentation
- Afferent pupillary defect
- Increased time to OR
Etiology
Etiology
- Falls, impact injuries
- Sport-related injuries (e.g., elbow, ball impacts, arrows, game controllers, etc.)
- Indirect concussive injuries (explosions)
- Sharp instrument/stabbing injuries, accidental or intentional
- High-velocity projectile injuries (industrial, firearms, BB pellets, blast explosion shrapnel)
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Citation
Schaider, Jeffrey J., et al., editors. "Globe Rupture." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307294/2.3/Globe_Rupture.
Globe Rupture. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307294/2.3/Globe_Rupture. Accessed December 3, 2024.
Globe Rupture. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307294/2.3/Globe_Rupture
Globe Rupture [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 03]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307294/2.3/Globe_Rupture.
* Article titles in AMA citation format should be in sentence-case
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T1 - Globe Rupture
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BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307294/2.3/Globe_Rupture
PB - Lippincott Williams & Wilkins
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