Manual

Open globe injury

Emergencies

Open globe injury

Shield, NPO, CT, antibiotics, OR.

  • Signs: irregular/peaked pupil, shallow or flat AC, uveal prolapse, positive Seidel, 360° bullous subconjunctival hemorrhage, very low IOP, reduced motility.
  1. 1Rigid shield (no patch, no pressure). No further exam if obvious.
  2. 2NPO, antiemetics, analgesia; avoid Valsalva.
  3. 3CT orbits (thin cuts) — rule out intraocular foreign body. NO MRI if metallic FB possible.
  4. 4IV antibiotics (e.g. vancomycin + ceftazidime, or a fluoroquinolone per protocol); tetanus prophylaxis.
  5. 5Urgent surgical repair (ideally < 24 h).
NextOrbital compartment syndrome

Educational summary — follow local protocols and current guidelines.