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Corneal laceration repair
Ocular Trauma
Key Points
- •The Seidel test is the gold standard bedside test for corneal perforation - concentrated fluorescein is diluted and streams bright green at the wound site when aqueous leaks through
- •Full-thickness corneal laceration is an open globe injury requiring emergency surgical repair with 10-0 nylon interrupted sutures
- •Start systemic antibiotics within 6 hours of open globe injury to reduce endophthalmitis risk (vancomycin + ceftazidime IV, or moxifloxacin oral)
- •Prolapsed iris should be repositioned if viable (within 24h and not necrotic) or excised if necrotic, contaminated, or prolapsed >24 hours
- •The Ocular Trauma Score based on presenting VA, globe status, endophthalmitis, RAPD, and retinal detachment is the best predictor of visual outcome
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- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations