4K Severe Blunt Eye Trauma with combined Corneal Laceration & Foveal Sparing Posterior Scleral Rupture
Globe rupture usually occurs when there is a traumatic defect in the cornea, sclera of the two of them. It is more common after a direct penetrating trauma, but blunt trauma may cause the sclera to rupture if the blunt force is high enough towards the eye, secondary to an increased intraocular pressure. A severe trauma, where a 5 year old boy had a Blunt Trauma that actually perforated his cornea, that was later sutured; the trauma was caused when the child hit the table edge with such extreme force that besides the corneal lesion, hyper pressure mechanism caused a scleral rupture at the posterior pole, temporal to the fovea, fortunately sparing it. The scleral lesion was sealed with the fibrous inflammatory tissue that was created secondarily to the trauma, and the force was conducted to the anterior segment where it found less resistance at the cornea, open with the trauma. He also developed massive vitreous hemorrhage and a granuloma that by Bscan - ultrasonography - looked like a dislocated lens. The case was well managedThe scleral lesion was sealed and after the tractions were removed we decided to insert silicon oil into the eye. The outcome got a lot better after the surgery.
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