Globe rupture: Difference between revisions
From WikiMD's Wellness Encyclopedia
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{{SI}} | |||
{{Infobox medical condition | |||
| name = Globe rupture | |||
| image = [[File:Blausen_0388_EyeAnatomy_01.png|250px]] | |||
| caption = Anatomy of the eye | |||
| field = [[Ophthalmology]] | |||
| synonyms = Ruptured globe | |||
| symptoms = [[Severe eye pain]], [[vision loss]], [[eye deformity]] | |||
| complications = [[Infection]], [[vision impairment]], [[loss of the eye]] | |||
| onset = Sudden | |||
| duration = Acute | |||
| causes = [[Trauma]], [[penetrating injury]], [[blunt force trauma]] | |||
| risks = [[High-impact sports]], [[occupational hazards]], [[violence]] | |||
| diagnosis = [[Clinical examination]], [[CT scan]], [[ultrasound]] | |||
| differential = [[Corneal laceration]], [[scleral rupture]], [[orbital fracture]] | |||
| prevention = [[Eye protection]], [[safety goggles]] | |||
| treatment = [[Surgical repair]], [[antibiotics]], [[tetanus prophylaxis]] | |||
| prognosis = Variable, depends on severity and promptness of treatment | |||
| frequency = Rare | |||
}} | |||
{{Short description|A comprehensive overview of globe rupture}} | {{Short description|A comprehensive overview of globe rupture}} | ||
'''Globe rupture''' is a serious ophthalmic condition characterized by a full-thickness injury to the outer membranes of the eye, including the [[sclera]] and [[cornea]]. This condition is considered an ocular emergency and requires immediate medical attention to prevent permanent vision loss. | '''Globe rupture''' is a serious ophthalmic condition characterized by a full-thickness injury to the outer membranes of the eye, including the [[sclera]] and [[cornea]]. This condition is considered an ocular emergency and requires immediate medical attention to prevent permanent vision loss. | ||
==Causes== | ==Causes== | ||
Globe rupture can occur due to various types of trauma, including blunt or penetrating injuries. Common causes include: | Globe rupture can occur due to various types of trauma, including blunt or penetrating injuries. Common causes include: | ||
* [[Blunt trauma]]: Often results from accidents such as motor vehicle collisions or sports injuries, where a sudden impact causes increased intraocular pressure, leading to rupture. | * [[Blunt trauma]]: Often results from accidents such as motor vehicle collisions or sports injuries, where a sudden impact causes increased intraocular pressure, leading to rupture. | ||
* [[Penetrating trauma]]: Occurs when a sharp object pierces the eye, such as a knife or a piece of glass. | * [[Penetrating trauma]]: Occurs when a sharp object pierces the eye, such as a knife or a piece of glass. | ||
* [[Surgical complications]]: Rarely, globe rupture can occur as a complication of eye surgery. | * [[Surgical complications]]: Rarely, globe rupture can occur as a complication of eye surgery. | ||
==Symptoms== | ==Symptoms== | ||
The symptoms of globe rupture can vary depending on the severity and location of the injury but may include: | The symptoms of globe rupture can vary depending on the severity and location of the injury but may include: | ||
* Severe eye pain | * Severe eye pain | ||
* Decreased vision or complete vision loss | * Decreased vision or complete vision loss | ||
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* [[Vitreous hemorrhage]] | * [[Vitreous hemorrhage]] | ||
* [[Proptosis]] (protrusion of the eye) | * [[Proptosis]] (protrusion of the eye) | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of globe rupture is primarily clinical, based on the history of trauma and physical examination. Key diagnostic steps include: | Diagnosis of globe rupture is primarily clinical, based on the history of trauma and physical examination. Key diagnostic steps include: | ||
* Visual inspection for signs of rupture, such as irregular pupil shape or extrusion of intraocular contents. | * Visual inspection for signs of rupture, such as irregular pupil shape or extrusion of intraocular contents. | ||
* [[Seidel test]]: A fluorescein dye test to detect leaking aqueous humor. | * [[Seidel test]]: A fluorescein dye test to detect leaking aqueous humor. | ||
* Imaging: [[CT scan]] of the orbit is often used to assess the extent of the injury and rule out foreign bodies. | * Imaging: [[CT scan]] of the orbit is often used to assess the extent of the injury and rule out foreign bodies. | ||
==Treatment== | ==Treatment== | ||
Immediate treatment is crucial to preserve vision and prevent complications. Management strategies include: | Immediate treatment is crucial to preserve vision and prevent complications. Management strategies include: | ||
* Protective eye shield: To prevent further injury. | * Protective eye shield: To prevent further injury. | ||
* Surgical repair: Urgent surgical intervention is required to close the rupture and restore the integrity of the globe. | * Surgical repair: Urgent surgical intervention is required to close the rupture and restore the integrity of the globe. | ||
* Antibiotics: To prevent infection, especially in cases of open globe injuries. | * Antibiotics: To prevent infection, especially in cases of open globe injuries. | ||
* Tetanus prophylaxis: Administered if indicated. | * Tetanus prophylaxis: Administered if indicated. | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for globe rupture depends on the severity of the injury and the promptness of treatment. Early surgical intervention can significantly improve outcomes, but severe injuries may result in permanent vision loss or [[enucleation]] of the eye. | The prognosis for globe rupture depends on the severity of the injury and the promptness of treatment. Early surgical intervention can significantly improve outcomes, but severe injuries may result in permanent vision loss or [[enucleation]] of the eye. | ||
==Prevention== | ==Prevention== | ||
Preventive measures include wearing protective eyewear during activities that pose a risk of eye injury, such as sports or working with hazardous materials. | Preventive measures include wearing protective eyewear during activities that pose a risk of eye injury, such as sports or working with hazardous materials. | ||
==See also== | |||
== | |||
* [[Ocular trauma]] | * [[Ocular trauma]] | ||
* [[Eye surgery]] | * [[Eye surgery]] | ||
* [[Vision loss]] | * [[Vision loss]] | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Medical emergencies]] | [[Category:Medical emergencies]] | ||
Latest revision as of 03:42, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Globe rupture | |
|---|---|
| |
| Synonyms | Ruptured globe |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Severe eye pain, vision loss, eye deformity |
| Complications | Infection, vision impairment, loss of the eye |
| Onset | Sudden |
| Duration | Acute |
| Types | N/A |
| Causes | Trauma, penetrating injury, blunt force trauma |
| Risks | High-impact sports, occupational hazards, violence |
| Diagnosis | Clinical examination, CT scan, ultrasound |
| Differential diagnosis | Corneal laceration, scleral rupture, orbital fracture |
| Prevention | Eye protection, safety goggles |
| Treatment | Surgical repair, antibiotics, tetanus prophylaxis |
| Medication | N/A |
| Prognosis | Variable, depends on severity and promptness of treatment |
| Frequency | Rare |
| Deaths | N/A |
A comprehensive overview of globe rupture
Globe rupture is a serious ophthalmic condition characterized by a full-thickness injury to the outer membranes of the eye, including the sclera and cornea. This condition is considered an ocular emergency and requires immediate medical attention to prevent permanent vision loss.
Causes[edit]
Globe rupture can occur due to various types of trauma, including blunt or penetrating injuries. Common causes include:
- Blunt trauma: Often results from accidents such as motor vehicle collisions or sports injuries, where a sudden impact causes increased intraocular pressure, leading to rupture.
- Penetrating trauma: Occurs when a sharp object pierces the eye, such as a knife or a piece of glass.
- Surgical complications: Rarely, globe rupture can occur as a complication of eye surgery.
Symptoms[edit]
The symptoms of globe rupture can vary depending on the severity and location of the injury but may include:
- Severe eye pain
- Decreased vision or complete vision loss
- Visible deformity of the eye
- Hyphema (blood in the anterior chamber of the eye)
- Vitreous hemorrhage
- Proptosis (protrusion of the eye)
Diagnosis[edit]
Diagnosis of globe rupture is primarily clinical, based on the history of trauma and physical examination. Key diagnostic steps include:
- Visual inspection for signs of rupture, such as irregular pupil shape or extrusion of intraocular contents.
- Seidel test: A fluorescein dye test to detect leaking aqueous humor.
- Imaging: CT scan of the orbit is often used to assess the extent of the injury and rule out foreign bodies.
Treatment[edit]
Immediate treatment is crucial to preserve vision and prevent complications. Management strategies include:
- Protective eye shield: To prevent further injury.
- Surgical repair: Urgent surgical intervention is required to close the rupture and restore the integrity of the globe.
- Antibiotics: To prevent infection, especially in cases of open globe injuries.
- Tetanus prophylaxis: Administered if indicated.
Prognosis[edit]
The prognosis for globe rupture depends on the severity of the injury and the promptness of treatment. Early surgical intervention can significantly improve outcomes, but severe injuries may result in permanent vision loss or enucleation of the eye.
Prevention[edit]
Preventive measures include wearing protective eyewear during activities that pose a risk of eye injury, such as sports or working with hazardous materials.
