1. MAUREEN
BSC OPHTHALMOLOGY 2022
OPEN &CLOSED INJURIES.

2. • 1. Closed-globe injury is one in which the eyewall(sclera and cornea)
does not have a full thickness wound but there is intraocular damage.
• 2.open globe injury is when there is a full thickness wound of the
cornea or sclera or both.
• It includes rapture /laceration of the globe

3. • . Lesions seen in closed-globe injury are briefly enumerated here
structurewise.
• I. Cornea
-1. Simple abrasions. These are very painful and diagnosed by
fluorescein staining.
RX- topical antibiotics
2. Corneal lacerations/tears
RX Corneal repair in eye theatre

4. II. Sclera
-Partial thickness scleral wounds (lamellar scleral lacerations) may occur
alone or in association with other lesions of closed-globe injury
RX scleral repair.
• III. Anterior chamber
1. Traumatic hyphaema (blood in the anterior chamber). It occurs due to
injury to the iris or ciliary body vessels .
RX
Managed in eye wards

5. Blood staining of cornea. Photograph of a patient with
hyphaema

6. • V. Lens
• -Ruptured lens
• Traumatic cataract

7. • VI. Vitreous
1. Detachment of the vitreous either anterior or posterior.
2. Vitreous haemorrhage. It is of common occurrence
3. Vitreous herniation in the anterior chamber may occur with
subluxation or dislocation of the lens

8. • VIII. Retina
• 1. Commotio retinae (Berlin’s oedema). It is of common occurrence
following a blow on the eye.
• It manifests as milky white cloudiness involvinga considerable area of
the posterior pole with a ‘cherry-red spot’ in the foveal region.
• 2. Retinal haemorrhages.
• These are quite common following trauma.

9. END
• THANKS