Trauma to globe

Author: Nat Pernick, M.D. (see Authors page)

Revised: 9 May 2018, last major update February 2014

Copyright: (c) 2004-2018, PathologyOutlines.com, Inc.

PubMed Search: Trauma [title] globe [title]

Table of Contents
Definition / general
Cite this page: Pernick, N. Globe: trauma to globe. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/eyeglobetrauma.html. Accessed December 17th, 2018.
Definition / general
  • Common cause of enucleation, if no potential for visual recovery exists
  • Surgeon may want to know if retina is extruded through wound
  • Common sites of rupture are junction of cornea and sclera or posterior to insertion of rectus muscles where sclera is thinnest
  • Trauma may cause hyphema (blood in anterior chamber) with associated corneal blood staining, separation of ciliary body from iris (iridodialysis) or sclera (cyclodialysis), cataracts, retinal detachment or choroidal rupture
  • Search for metal, vegetation or cilia
  • Globe may contain iron (siderosis) or copper (chalcosis)
  • Other secondary changes are fibrosis, secondary glaucoma, sympathetic ophthalmia, phacoanaphylactic endophthalmitis, post contusion angle deformity, fibrous downgrowth, epithelial downgrowth or granulomatous inflammation in response to foreign body