Lacerated eyeball

A lacerated eyeball can be shallow and trivial. Nevertheless, there are some cases in which the cuts pierce through the white part of the eye (sclera) or the translucent dome on the anterior region of the eye (cornea) which penetrates the interior.

The globe can also be ruptured by a blunt force. In such cases, it results to serious damage to the structures required for vision as well as predispose to infection inside the eye. Most individuals with a broken globe can hardly see. The eye is frequently evidently distorted and the pupil is shaped similar to a teardrop. In addition, fluid drains out of the eye.

Diagnosing a lacerated eyeball

Lacerated eyeball

Most individuals with a broken globe can hardly see. The eye is frequently evidently distorted and the pupil is shaped similar to a teardrop.

A lacerated eyeball should be carefully assessed by an ophthalmologist. In most instances, CT scan is usually carried out to confirm a diagnosis and check if there is any foreign material within the eye.

Expected outcome

Even after medical and surgical treatment for a lacerated eyeball, sustaining a serious injury can result to partial or full loss of vision. In rare instances, after a severe case of lacerated eyeball, the unaffected eye becomes swollen (sympathetic ophthalmia) that can result to partial vision loss or even blindness if left untreated.

Oftentimes, corticosteroid drops can effectively manage this reaction. The doctor might remove an irreversibly damaged eye in order to prevent sympathetic ophthalmia.

Management of a lacerated eyeball

Surgery is often needed except for some injuries that only involve the thin mucous membrane that covers the cornea. Even before surgery, antibiotics are administered to minimize the risk for infection inside the eye. Take note that antibiotics are given intravenously and ointments are avoided.

A protective shield is usually taped over the affected eye to avoid unintentional pressure that forces the contents of the eye through the laceration. If needed, vomiting can be managed using drugs that alleviate nausea. The pain medications are given intravenously or orally if surgery is not needed.

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