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What is Globe Rupture, Causes and Symptoms of Globe Rupture

Globe Rupture

  • Posted on- May 16, 2018
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Globe Rupture

Globe Rupture is a very disturbed state of the total outer portion of an eye's membrane which is caused by any blunt object or penetrating trauma. It is the damaged state of the globe or eyeball.

An open globe injury can disrupt cornea or sclera, or both. This is known as one of the most serious eye injuries. This disease differs from blunt trauma to penetrating trauma, each having its consequences.

It is an ophthalmologic condition of the eye which requires immediate treatment by an ophthalmologist, as this injury can lead to a high frequency of visual loss and can be very painful to the eye.

Though, the eye can be treated with the help of modern diagnostic techniques, surgical approaches and rehabilitation.

Causes of Globe Rupture

Globe rupture is any full-thickness injury to the sclera, cornea or both which can be caused by:

  • Penetrating or blunt trauma.
  • Penetrating injuries by scissors, knives, sticks, nails, etc.
  • Damage which is caused by chemicals, like strong acids or industrial chemicals.
  • Eye injuries which mostly occur in sports, like baseball, basketball, martial arts, wrestling, etc.

Risks related to Globe Rupture


Some common risks of globe rupture are:
  • Infection
  • Postoperative endophthalmitis
  • Exogenous endophthalmitis

Prevention

Following are some of the measures that can be used to prevent globe rupture:

  • Wear protective eyewear while using lawn-care or metalworking equipments.
  • Carry protective glass shields at the time of doing industrial work.

How is Globe Rupture diagnosed?

Globe rupture can be diagnosed by physical examination. This examination is done very carefully.

  • Visual Activity Test
  • Ultrasonography
  • Orbital Crepitus


Symptoms

Symptoms of Globe Rupture

Most common symptoms of this problem are as follows:

  • Pain.
  • Loss of vision or blurred vision.
  • Diplopia.


Treatment

How is Globe Rupture treated?

  • Before taking to the hospital - Globe Rupture is a very serious condition. It should be treated under the guidance of an ophthalmologist, but some before-hospital care steps should be ensured while transporting the patient.
  • Non-ophthalmologists - Often it is treated by non-ophthalmologists. This involves corneal abrasions and also chemical splashes.  If the globe rupture is not very serious, then it requires immediate ophthalmological care. Most of the times, surgeons prefer to have intraocular lens implantation. Also, antibiotics can be taken to prevent any eye loss.
  • Fox Shield - A fox shield is putted over the affected area for the treatment of this problem. Polystyrene foam cup can also be taken instead of the fox shield. Any kind of eye manipulation is avoided during the treatment, as it may raise the pressure of intraocular contents with potential extrusions.

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