This document discusses various types of ocular trauma including: 1. Corneal abrasions which can cause corneal opacity and edema folds from deep scratches. Topical treatments are used. 2. Keratitis from glass or foreign bodies in the cornea which are removed using anesthesia and topical treatments. 3. Blood staining of the cornea from hyphema that clears gradually from the periphery to the center over years. 4. Corneal edema from endothelial trauma requiring topical treatments. 5. Ruptured globe injuries which require scleral repair, uveal repositioning or removal depending on damage to avoid infection.

1. OCULAR TRAUMA
CORNEA&SCLEARA
by :mohamed motafa

2. cause severe pain and
photophppia
Treatment: Topical cycloplegic,
antibiotic and patch
cornea
1-corneal abrasions
corneal abrasions
by :mohamed motafa

3. may be deep enough to cause
corneal opacity. du to:
corneal edema folds & rupture of
desment membrane.
2-Keratits
Lamellar injury due to glass splinter
Foreignbodythathasburneditswayintothe
cornea
Corneal foreign Bodies:
Corneal foreign bodies are
removed from the surface of the
cornea by
using a foreign body spud after
instilling topical anesthesia.
Topical
cycloplegic, antibiotic drops and
ointment are then instilled with
patching of the eye.
by :mohamed motafa

4. 3-blood staning of the
cornea
blood is bushed between
cornea and lamellae,
Mechanism: hyphema +
increase IOP
Signs: color of the cornea
red -> brown ->greenish
gray.
Fate: staning usually clears
from the prephery to center
by phagocytic action
(completly after 2 years)
hyphema >red
hyphema >brown
by :mohamed motafa

5. 4-corneal edema
due to trauma of the
endothelium and desment
membrane.
5-rupture of the
cornea
less common than rupture of
the sclera as cornea stronger
than the sclera
laceration
edema
by :mohamed motafa

6. sclera
rupture globe
Site: The rupture is usually up and in
(concentric with and about 3 mm behind
the limbus) because the trauma usually
comes from down and out where the
globe is leaslt protected and the eyeball is
pushed against the trochleat
Signs and Symptoms:
l. Sudden diminution of yision.
2, Pain, watering and redness ofthe eye.
3. Chemosis of the conjunctiva and/or sub-conjunctival hemorrhage
4. Shallow AC (with or without hyphema).
5. Hypotony (low ocular tension).
6. Abnormal site, size, and shape of the pupil.
7. Uveal prolapse.
rupture globe
by :mohamed motafa

7. Treatment:
1. Scleral repair with reposition
of the prolapsed uvea.
2. Scleral repair with
abscission of the prolapsed
uvea if the eye is badly
damaged to avoid infection.
3. Enucleation if the eye is
seriously damaged with no
perception of light (to avoid
sympathetic ophthalmitis in
the other eye).
treatment rupture globe
by :mohamed motafa

8. THANK YOU
mohamed motafa