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 Anesthesia Prep & 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 care Topical 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