Eye Trauma

  • E. Liang Liu
  • Ashley Phipps


Ocular trauma is a common emergency department presentation. A detailed history and physical exam are necessary to determine the appropriate management of patients presenting with ocular complaints after traumatic injury and whether emergent or urgent ophthalmology evaluations are warranted. Some important ocular injuries include lacerations, hyphemas, iridodialysis, ruptured globe, ocular fractures, retrobulbar hemorrhage, intraocular foreign bodies, and chemical burns. Appropriate management of these conditions is important to prevent vision loss or infection.


Ocular trauma Ruptured globe Eyelid laceration Conjunctival laceration Corneal laceration Traumatic hyphema Subconjunctival hemorrhage Iridodialysis Cyclodialysis Seidel’s sign Retrobulbar hematoma Orbital fracture Ruptured globe Foreign body Chemical burn 


  1. 1.
    Bord SP, Linden J. Trauma to the globe and orbit. Emerg Med Clin North Am. 2008;26(1):97–123.CrossRefPubMedGoogle Scholar
  2. 2.
    McGwin G, Owsley C. Incidence of emergency department – treated eye injury in the United States. Arch Ophthalmol. 2005;123(5):662–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Kim G, Wong MM. Ocular trauma: an evidence-based approach to evaluation and management in the ED. Pediatr Emerg Med Pract. 2006;3(11):1–15. Scholar
  4. 4.
    Güzel M, Erenler AK, Niyaz L, Baydın A. Management of traumatic eye injuries in the emergency department. OA Emerg Med. 2014;2(1):2.Google Scholar
  5. 5.
    Tintinalli JE, et al. Eye emergencies. In: Tintinalli’s emergency medicine: a comprehensive study guide. New York: McGraw-Hill; 2011. p. 7.Google Scholar
  6. 6.
    Gerstenblith AT, Rabinowitz MP. The wills eye manual: office and emergency room diagnosis and treatment of eye disease. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.Google Scholar
  7. 7.
    Gharaibeh A, Savage HI, Scherer RW, Goldberg MF, Lindsley K. Medical interventions for traumatic hyphema. Cochrane Database Syst Rev. 2013;12:CD005431.PubMedCentralGoogle Scholar
  8. 8.
    Walton W, Von Hagen S, Grigorian R, Zarbin M. Management of traumatic hyphema. Surv Ophthalmol. 2002;47(4):297–334.CrossRefPubMedGoogle Scholar
  9. 9.
    Crouch ER Jr, Williams PB, Gray MK, et al. Topical aminocaproic acid in the treatment of traumatic hyphema. Arch Ophthalmol. 1997;115:1106–12.CrossRefPubMedGoogle Scholar
  10. 10.
    Romano PE, Robinson JA. Traumatic hyphema: a comprehensive review of the past half century yields 8076 cases for which specific medical treatment reduces rebleeding 62%, from 13% to 5% (p_.0001). Binocul Vis Strabismus Q. 2000;15:175–86.PubMedGoogle Scholar
  11. 11.
    Stone CK, Humphries RL. Eye emergencies. In: Current diagnosis & treatment emergency medicine. 7th ed. New York: McGraw-Hill; 2011.Google Scholar
  12. 12.
    Naradzay J, Barish RA. Approach to ophthalmologic emergencies. Med Clin North Am. 2006;90(2):305–28.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • E. Liang Liu
    • 1
  • Ashley Phipps
    • 1
  1. 1.Department of Emergency MedicineUT Southwestern Medical CenterDallasUSA

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