بسم الله الرحمن الرحیم. corneoscleral trauma a. blunt trauma b. penetrating...
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بسم الله الرحمن الرحیم
CORNEOSCLERAL TRAUMA
a. Blunt trauma
b.Penetrating trauma
c. Perforating FB
a. Accurate history
b. Slit-lamp examination
c. Imaging Studies
SURGICAL REPAIR
AnesthesiaPrep & Drape
Corneal Suturing
1. Uniform approximation of the wound edges
2. Selective suture removal
3. Less astigmatism is induced
4. Flexibility in the closure of an irregular wound.
Interrupted Suture
Lens Involvement
1. Definite rupture of the lens capsule with cat formation
2. A clean ( non infected ),noncomplex corneal laceration
3. Absence of scleral extension
4. Absence of RD or intraocular infection
5. Persistence of the zonules & posterior capsule
Vitreous Prolapse
Corneoscleral Lacerations
IOFB
Post oprative careTopical 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. Increase IOP
c. Corneal blood staining 2-11%
d. Infection
Bacterial , Viral , Fungal
e. Cat
f. Glucoma
g. RD