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Emergency: requires immediate attention
Ruptured globe - External and Internal Eye
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Emergency: requires immediate attention

Ruptured globe - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

A ruptured globe is the descriptive term of any full-thickness defect in the cornea and/or sclera. The vast majority of ruptured globes are as a result of traumatic injuries, either penetrating or perforating types. Through and through, perforating injuries are most often far more dangerous. There are, however, disease entities that can result in a ruptured globe even though the frequency of such is very low. Signs and symptoms of a ruptured globe depend upon the location and the profoundness of the injury. Patients can present with almost normal vision and minimal apparent injury and yet still have a ruptured globe. Usually there is clear-cut evidence of severe injury with major vision-limiting effects. Tearing, pain, anatomical distortion, vision blurring or loss, frank bleeding, diplopia, presence of pigmented tissue extruding from the wound, or a history of disease entities that can cause a globe rupture are the usual presenting signs and symptoms of a globe rupture.

Codes

ICD10CM:
S05.90XA – Unspecified injury of unspecified eye and orbit, initial encounter

SNOMEDCT:
231791008 – Rupture of globe

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

In trauma cases, the only real differential is whether or not there really is a globe rupture. Thus, corneal laceration that is partial thickness, retinal detachment, vitreous hemorrhage, subconjunctival hemorrhage, or conjunctival laceration may mimic some of the signs of a ruptured globe even when one is not present.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 02/09/2010
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Emergency: requires immediate attention
Ruptured globe - External and Internal Eye
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View all Images (12)
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Ruptured globe : Eye pain, Blurred vision, Laceration, Trauma, Unilateral, Vision loss, Hyphema, Ocular hemorrhage
Clinical image of Ruptured globe
Copyright © 2019 VisualDx®. All rights reserved.