بسم الله الرحمن الرحیم. corneoscleral trauma a. blunt trauma b. penetrating...

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