An open globe injury is a full-thickness wound of the eye wall, involving the cornea and/or sclera. It is an emergency with high risk of infection and permanent visual loss.
Recognition and initial care
Prompt identification and protection of the eye are critical.
- History of sharp or high-speed injury, pain, and sudden vision loss
- Signs such as full-thickness laceration, uveal prolapse, or low pressure
- Shielding the eye, avoiding pressure, and nil by mouth
- Urgent imaging and preparation for theatre
Treatment
Definitive management requires surgical repair.
- Primary closure of the wound as soon as safely possible
- Systemic and topical antibiotics to reduce endophthalmitis risk
- Later surgeries to address cataract, retinal damage, or scarring
- Visual rehabilitation and counselling if outcome is limited
