classification of Ocular
trauma
presentor: Dr.Srinithi
ocular
trauma
⇢ Emergency
⇢ requires immediate medical
or surgical intervention.
mechanical
injuries.
chemical
injuries.
⇢ Other modes of
injuries...
⇢ Radiation
⇢ Thermal
Classification of mechanical injuries
closed
globe injury
⇢ Ocular injury without full
thickness defect of the coats
Contusion
and
concussion
in closed-
globe
injuries.
⇢ Blow out fracture of the floor
of orbit
⇢ Orbital hematoma
⇢ Subconjunctival hemorrhage
⇢ hyphaema
⇢ iridodialysis
⇢ Rosette cataract
⇢ subluxation of lens
⇢ vitreous hemorrhage
⇢ Commotio retinae
Closed globe injuries caused by blunt trauma
Lamellar
laceration
⇢ Sharp or blunt trauma
⇢ partial thickness wound
Superficial
foreign
body
⇢ sudden discomfort and reflex blinking.
⇢ FB embedded on conjunctiva , cornea
⇢ may form ulcer
⇢ if combined with a virulent organism,they can
develop into hypopyon.
Zones of Closed globe injuries
⇢ zone 1 - External anterior
segment involving conjunctiva,
sclera and cornea
⇢ zone 2 - Internal anterior
segment including lens , zonules
and pars plicata
⇢ zone 3 - Posterior segment
Open globe injuries classification
Zones of Open globe injury
⇢ zone 1 - Cornea and limbus
⇢ zone 2 - Limbus to 5mm
Posterior into sclera
⇢ zone 3 - more than 5mm
posterior to limbus
Classification of chemical burns.
References...
⇢ Parsons' diseases of the eye 22nd ed
⇢ Kanski's Clinical Ophthalmology 9th ed
⇢ https:/
/eyewiki.org/Zone_of_Injury
⇢
⇢
Thank you
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