---
title: Open globe injury
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/open-globe-injury/"
updated: "2025-12-16"
category: "Conditions & Diseases"
---

# Open globe injury

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