Corneoscleral Laceration Follow-up
- Author: Guruswami Giri, MD, FRCS; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
Most patients with corneoscleral laceration are discharged home and are seen as outpatients at appropriate times as determined by the status of the eye.
Further Inpatient Care
Inpatient care is not necessary in most circumstances.
Inpatient & Outpatient Medications
The author recommends oral antibiotics for 7-10 days, although no established controlled study supports this recommendation.
The author uses topical steroids, antibiotics, and cycloplegics for a few weeks. Depending on the intraocular pressure, topical antiglaucoma medication may be needed.
Eye protection with safety glasses should be considered while working with mechanical tools or playing sports. Contact sports may need to be deferred for months or permanently.
The following complications are associated with corneoscleral lacerations:
- Endophthalmitis, which occurs in 2-7% of patients with ocular trauma
- Iris damage
- Glaucoma, which can occur acutely or later, possibly related to angle recession
- Epithelial downgrowth
- Fibrous ingrowth
- Cystoid macular edema
- Sympathetic ophthalmia, which can occur anytime after the trauma (One case of sympathetic ophthalmia occurred 50 years after the initial trauma.)
Prognosis depends on several factors.
Patients with a small corneoscleral laceration without any other intraocular injury have a better prognosis.
Patients with other intraocular injuries, intraocular foreign bodies, endophthalmitis, late presentation, or agricultural-related injuries tend to have a poor prognosis.
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