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Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls

Ocular trauma may either be closed globe or open globe. Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity....

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Autores principales: Zhou, Yujia, DiSclafani, Mark, Jeang, Lauren, Shah, Ankit A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379121/
https://www.ncbi.nlm.nih.gov/pubmed/35983163
http://dx.doi.org/10.2147/OPTH.S372011
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author Zhou, Yujia
DiSclafani, Mark
Jeang, Lauren
Shah, Ankit A
author_facet Zhou, Yujia
DiSclafani, Mark
Jeang, Lauren
Shah, Ankit A
author_sort Zhou, Yujia
collection PubMed
description Ocular trauma may either be closed globe or open globe. Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity. Without timely intervention, damage is irreversible and leads to permanent vision loss. The goals of evaluation are to identify the mechanism of injury, characterize the extent of injury, and gather relevant history. If an open globe is suspected, ophthalmologic consultation should be requested. Once an open globe is diagnosed, preparations for surgery should be made immediately and steps should be taken to avoid further injury. Intraocular infection risk is relatively high, requiring immediate empiric systemic antibiotics. Emergent surgical exploration and primary closure is indicated whenever possible. After initial closure, secondary surgery and revision may be needed to improve vision outcomes, followed by extensive follow-up. In this review, best practices for evaluation and management are reviewed, with particular focus on the surgical approach and techniques.
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spelling pubmed-93791212022-08-17 Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls Zhou, Yujia DiSclafani, Mark Jeang, Lauren Shah, Ankit A Clin Ophthalmol Review Ocular trauma may either be closed globe or open globe. Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity. Without timely intervention, damage is irreversible and leads to permanent vision loss. The goals of evaluation are to identify the mechanism of injury, characterize the extent of injury, and gather relevant history. If an open globe is suspected, ophthalmologic consultation should be requested. Once an open globe is diagnosed, preparations for surgery should be made immediately and steps should be taken to avoid further injury. Intraocular infection risk is relatively high, requiring immediate empiric systemic antibiotics. Emergent surgical exploration and primary closure is indicated whenever possible. After initial closure, secondary surgery and revision may be needed to improve vision outcomes, followed by extensive follow-up. In this review, best practices for evaluation and management are reviewed, with particular focus on the surgical approach and techniques. Dove 2022-08-10 /pmc/articles/PMC9379121/ /pubmed/35983163 http://dx.doi.org/10.2147/OPTH.S372011 Text en © 2022 Zhou et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Zhou, Yujia
DiSclafani, Mark
Jeang, Lauren
Shah, Ankit A
Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title_full Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title_fullStr Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title_full_unstemmed Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title_short Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
title_sort open globe injuries: review of evaluation, management, and surgical pearls
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379121/
https://www.ncbi.nlm.nih.gov/pubmed/35983163
http://dx.doi.org/10.2147/OPTH.S372011
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