Overview
What is the pathophysiology of globe rupture?
What is the prevalence of globe rupture in the US?
What is the visual prognosis associated with globe rupture?
What are the racial predilections of globe rupture?
What are the sexual predilections of globe rupture?
Which age groups have the highest prevalence of globe rupture?
What is the prognosis of globe rupture?
Presentation
What is the focus of the clinical history for globe rupture?
What are the signs and symptoms of globe rupture?
How is globe rupture diagnosed?
How is visual acuity and eye movement assessed in suspected globe rupture?
Which orbital findings suggest globe rupture?
How are eyelids assessed in the evaluation of globe rupture?
Which conjunctiva findings suggest globe rupture?
Which cornea and sclera findings suggest globe rupture?
Which pupil findings suggest globe rupture?
Which slit lamp exam findings are characteristic of globe rupture?
What does a finding of vitreous hemorrhage suggest in the evaluation of globe rupture?
What are the possible complications of globe rupture?
DDX
What are the differential diagnoses for Globe Rupture?
Workup
How is globe rupture diagnosed?
Which lab tests are performed in the workup of globe rupture?
What is the role of CT scanning in the workup of globe rupture?
What is the role of radiography in the workup of globe rupture?
What is the role of MRI in the workup of globe rupture?
What is the role of ultrasonography in the workup of globe rupture?
What is the role of the Seidel test in the workup of globe rupture?
Which nonocular tests are performed in the workup of globe rupture?
When are eyelid or conjunctival lacerations treated in patients with suspected globe rupture?
Treatment
What is included in prehospital care for globe rupture?
How is globe rupture treated in the emergency department (ED)?
Which specialist consultations are beneficial to patients with globe rupture?
How is globe rupture prevented?
When is inpatient care indicated in the treatment of globe rupture?
When is patient transfer required for the treatment of globe rupture?
Medications
What is the role of medications in the treatment of globe rupture?
Which medications in the drug class Antibiotics are used in the treatment of Globe Rupture?
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Operating microscope view of a globe rupture secondary to blunt trauma by a fist. Notice the dark arc in the bottom of the photo representing the ciliary body visible through the scleral breach. Subconjunctival hemorrhage of this severity should raise suspicion of occult globe rupture. Photo courtesy of Brian C Mulrooney, MD.