Open-Globe Injuries

Chapter
Part of the Ocular Trauma book series (OCTRA)

Abstract

Open-globe injury is a significant cause of permanent vision loss worldwide. Besides inevitable psychological impacts on the patient and the family, it also places a severe socioeconomic burden on society, given the fact that young individuals are the mostly affected group.

Proper evaluation of the nature and extent of the injury and planning a management strategy are of utmost importance for prognosis in open-globe injuries. Wide spectrum of tissue injuries makes an open-globe injury a challenge to the surgeon. Thread of expulsive hemorrhage and endophthalmitis further complicates the situation.

Although initial damage cannot be undone, prompt and appropriate medical and surgical management may prevent further complications, resulting in more favorable outcomes.

This chapter provides a guide to emergency management of open-globe injuries, with emphasis on differences according to different types of injuries (e.g., lacerations, ruptures) and prevention and treatment of associated complications.

Keywords

Open globe injury Primary wound repair Post-traumatic endophthalmitis Globe rupture Intraocular foreign bodies 

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© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of Ophthalmology, School of MedicineGazi UniversityAnkaraTurkey

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