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Emergency: requires immediate attention
Scleral laceration - External and Internal Eye
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Emergency: requires immediate attention

Scleral laceration - 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

Scleral lacerations are traumatic injuries to the eye and should be considered ophthalmic emergencies as improper treatment can lead to permanent visual loss. On presentation, the patient will have a history of ocular trauma, significant pain, associated photophobia, and blepharospasm. The scleral laceration may cause hemorrhage into the vitreous cavity or extend into the anterior segment causing additional damage such as hyphema or uveal prolapse reducing vision.

With scleral lacerations, there is often associated facial and/or orbital trauma. The patient must be stabilized prior to examination of the eye. Visual acuity must be documented. If a scleral laceration is suspected, a careful and gentle slit lamp exam by an eye care professional is mandatory. The depth and extent of the laceration is essential to measure.

Codes

ICD10CM:
S05.30XA – Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter

SNOMEDCT:
95799000 – Scleral laceration

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Last Updated: 01/04/2019
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Emergency: requires immediate attention
Scleral laceration - External and Internal Eye
Print 7 Images
View all Images (7)
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Scleral laceration : Eye pain, Photophobia, Sclera/bulbar conjunctiva defect or ulceration, Hyphema, Ocular trauma, Ocular hemorrhage
Clinical image of Scleral laceration
Copyright © 2019 VisualDx®. All rights reserved.