Corneoscleral Laceration

• Corneoscleral defects may result from severe blunt trauma, penetrating injuries or secondary to tissue necrosis following inflammations or infections.

Work Up

• Rule out intraocular foreign body.
• Thorough ophthalmic examination to evaluate intraocular damage.

Management

• Aim: to restore and maintain the integrity of the globe, avoid further intraocular damage, and prevent permanent corneal scarring and astigmatism.
• Small corneoscleral defect without uveal prolapse maybe treated with close observation and prophylactic antibiotics.
• Large wounds with gape should be surgically repaired either by primary closure or by patch grafting