Corneoscleral Laceration Workup
- Author: Guruswami Giri, MD, FRCS; Chief Editor: Hampton Roy, Sr, MD more...
Patients with corneoscleral lacerations should have cultures performed in the operating room if the wound appears infected. Cultures from the wound should be obtained before the patient is prepared for surgery with Betadine. Cultures can also be obtained from any intraocular foreign bodies or tissue resected during surgery.
Blood agar, chocolate agar, thioglycolate, and Sabouraud agar are recommended. Gram and Giemsa stains can also be obtained.
Imaging should be considered when an intraocular foreign body is suspected. X-ray films and CT scans are quick and can be readily obtained. MRI should not be obtained if any possibility exists of a metallic foreign body in the eye or the orbit.
A CT scan is also useful in assessing any injury to the orbital bone in patients who have sustained blunt trauma.
A B-scan ultrasound examination that is gently performed by an expert may be helpful in identifying an intraocular foreign body.
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