Corneoscleral Trauma

CORNEOSCLERAL TRAUMA a. Blunt

trauma b. Penetrating trauma c. Perforating FB Accurate history b. Slit-lamp examination c. Imaging Studies a.

SURGICAL REPAIR Anesthesia Prep & Drape Corneal Suturing

Interrupted Suture Uniform approximation of the wound edges 2. Selective suture removal 3. Less astigmatism is induced 4. Flexibility in the closure of an irregular wound. 1.

Lens Involvement 1. 2. 3. 4. 5.

Definite rupture of the lens capsule with cat formation A clean ( non infected ),noncomplex corneal laceration Absence of scleral extension Absence of RD or intraocular infection Persistence of the zonules & posterior capsule

Vitreous Prolapse Corneoscleral Lacerations IOFB Post oprative care Topical

and systemic antibiotics 7 to 10 days Cycloplegic Topical Steroids

Complication of mechanical Trauma to the cornea a) Hyphema rebleeding 2 to 5 days antifibrinolytic (aminocaproic acid,tranexamic acid)

side effects: nausea & vomiting, contraindicated in pregnancy, cardiac, hepatic or renal disease b. c. d. e.

f. g. Increase IOP Corneal blood staining 2-11% Infection Bacterial , Viral , Fungal Cat

Glucoma RD