Ophthalmologic Trauma
Recognition of open globe injury, orbital wall fracture signs, and eyelid laceration concerns.
Updated: Current
OphthalmologyOpen globeOrbital fractureEyelid lacerationOn this page3 sectionsHide sections
⚠️ Treat suspected open globe as vision-threatening; involve ophthalmology urgently.
👁️Globe Injury Terminology
▼- Open globe: full-thickness wound of the eye wall
- Globe rupture: blunt trauma mechanism
- Penetrating injury: sharp object with entry wound only
- Perforating injury: sharp object with both entry and exit wounds
🚨Suggestive Signs of Open Globe
▼- Peaked or eccentric pupil
- 360-degree bullous subconjunctival hemorrhage
- Low intraocular pressure
- Shallow or flat anterior chamber
- Irregular globe contour on CT
🦴Orbital Wall Fracture
▼- Pain or limitation with attempted eye movement
- Diplopia, crepitus after nose blowing, focal tenderness, or palpable step-off
- Decreased V2 sensation, enophthalmos, or hypoglobus
- EOM limitation may reflect edema/hemorrhage, contusion, cranial nerve palsy, or entrapment; assess for oculocardiac reflex
- Status
- AHS Official Protocol
- Source
- sites.google.com/view/hghtrauma/ophthalmologic-trauma
- Last reviewed / updated
- Current