II. Exam
- See Eye Exam
- Remove contacts immediately
- Removal difficult with swelling
III. Complications: Conditions secondary to blunt Trauma
- Hyphema
- Retinal Detachment
- Eyelid Laceration
- Penetrating Eye Injury with Globe Rupture
- Lens Dislocation
- Traumatic Glaucoma
-
Iridodialysis
- Traumatic separation of iris from ciliary body
- Risk of Aqueous Humor accumulation (blocked absorption) with Increased Intraocular Pressure
-
Cyclodialysis Cleft
- Separation of ciliary muscle fibers from attachment at Scleral spur
- Results when the globe is briefly compressed followed by rapid re-expansion
- Results in Aqueous Humor leak from anterior chamber into suprachoroidal space
- Presents with Ocular Hypotony (Intraocular Pressure <5 mm Hg)
IV. Imaging: Indicated if penetrating injury suspected
- Orbital CT Scan (1-1.5 mm cuts, axial and coronal) or
- XRay (up and down gaze views) if CT not available
V. Management
- Patients who are discharged
- Close interval follow-up
- Self-monitoring of vision and immediate return for worsening or lack of improvement
