Open globe eye injury

 Q; What are the three big "NOs" in the early management of patients with open globe eye trauma?

Answer: It is important to recognize the basic classification of eye injury into three big categories.

• Open globe 
• Closed globe 
• Periocular 

When it comes to open globe eye injury, three Big Nos are 

1. No pressure to the eyeball (no tonometry exam) 
2. No eye drops (eg fluorescein) 
3. No removal of any foreign bodies

An eye surgeon should be called at the earliest convenience.

#trauma

#opthalmology

References:

1. Ritson JE, Welch J. The management of open globe eye injuries: a discussion of the classification, diagnosis and management of open globe eye injuries. J R Nav Med Serv. 2013;99(3):127-30. PMID: 24511795.

2. Colby K. Management of open globe injuries. Int Ophthalmol Clin. 1999 Winter;39(1):59-69. doi: 10.1097/00004397-199903910-00008. PMID: 10083907. 

3. Xia T, Bauza A, Soni NG, Zarbin MA, Langer PD, Bhagat N. Surgical Management and Outcome of Open Globe Injuries with Posterior Segment Complications: A 10-Year Review. Semin Ophthalmol. 2018;33(3):351-356. doi: 10.1080/08820538.2016.1242634. Epub 2016 Dec 14. PMID: 27960623.