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91: Ocular Trauma
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Published:May 2023
Anika Kumar, MD, FAAP, FHM, Colleen Schelzig, MD, FAAP, "Ocular Trauma", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Ocular trauma is the leading cause of noncongenital unilateral vision loss in children. Traumatic injury to the eye is classified as either open or closed globe. Open-globe injury refers to full-thickness injury to the cornea, sclera, or both. Open-globe injury can be further classified as laceration (penetrating, perforating, or intraocular foreign body) or rupture. The closed-globe category consists of contusion or lamellar (partial thickness) laceration
Ocular injuries that require urgent care include ocular burns, an open globe, traumatic optic neuropathy, extraocular muscle entrapment (secondary to orbital fracture), rhegmatogenous retinal detachment (traumatic tear), and retrobulbar hemorrhage.
In terms of chemical injuries,...
