Globe rupture

Changed by Andrew Murphy, 3 Oct 2016

Updates to Article Attributes

Body was changed:

Globe ruptures are an an ophthalmologic emergency emergency. A ruptured globe or an open-globe injury must be assessed in any patient who has suffered orbital trauma, because open-globe injuries are a major cause of blindness.

In a blunt trauma, ruptures are most common at the insertions of the intra-ocularintraocular muscles where the sclera is thinnest. 

Clinical presentation

If intra-ocularintraocular contents are visualized at clinical examination, a diagnosis of a ruptured globe can be obvious. 

Radiographic features

CT

CT findings that can be present in a globe rupture include 1:

  • collapsed globe ("flat tyre" or "mushroom" appearance)
  • presence of intra-ocularintraocular air or a foreign body
  • thick posterior sclera
  • hazy outline of the globe
  • enlarged anterior chamber
  • -<p><strong>Globe ruptures</strong> are an an ophthalmologic emergency. A ruptured globe or an open-globe injury must be assessed in any patient who has suffered orbital trauma, because open-globe injuries are a major cause of blindness.</p><p>In a blunt trauma, ruptures are most common at the insertions of the intra-ocular muscles where the sclera is thinnest. </p><h4>Clinical presentation</h4><p>If intra-ocular contents are visualized at clinical examination, a diagnosis of a ruptured globe can be obvious. </p><h4>Radiographic features</h4><h5>CT</h5><p>CT findings that can be present in a globe rupture include <sup>1</sup>:</p><ul>
  • +<p><strong>Globe ruptures</strong> are an ophthalmologic emergency. A ruptured globe or an open-globe injury must be assessed in any patient who has suffered orbital trauma because open-globe injuries are a major cause of blindness.</p><p>In a blunt trauma, ruptures are most common at the insertions of the intraocular muscles where the sclera is thinnest. </p><h4>Clinical presentation</h4><p>If intraocular contents are visualized at clinical examination, a diagnosis of a ruptured globe can be obvious. </p><h4>Radiographic features</h4><h5>CT</h5><p>CT findings that can be present in a globe rupture include <sup>1</sup>:</p><ul>
  • -<li>presence of intra-ocular air or a foreign body</li>
  • +<li>presence of intraocular air or a foreign body</li>

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