Corneoscleral Laceration

Corneoscleral Laceration 

  • Corneoscleral defects may result from severe blunt trauma, penetrating injuries or secondary to tissue necrosis following inflammations or infections.

Work up:

  • Rule out intraocular foreign body.
  • Thorough ophthalmic examination to evaluate intraocular damage.

Management:

  • Aim: to restore and maintain the integrity of the globe, avoid further intraocular damage, and prevent permanent corneal scarring and astigmatism.
  • Small corneoscleral defect without uveal prolapse maybe treated with close observation and prophylactic antibiotics.
  • Large wounds with gape should be surgically repaired either by primary closure or by patch grafting