Skip to main content

Globe Rupture

  • Chapter
  • First Online:
Emergencies of the Orbit and Adnexa

Abstract

Ocular trauma is one of the leading causes of visual morbidity worldwide. It may occur in different settings and of various types depending upon the mode of injury. The Birmingham Eye Trauma Terminology (BETT) system has broadly divided ocular trauma into closed-globe and open-globe injury. Closed-globe injury is one where the eye wall (formed by the cornea and the sclera) integrity is maintained. It comprises contusion and lamellar laceration. On the other hand, open-globe injury is characterized by a full-thickness wound in the eye wall. It includes rupture, laceration, penetration, perforation, and retained intraocular foreign body. Globe rupture, as described by the BETT, is an open-globe injury caused by some blunt force. Though not very common, it usually poses challenging clinical situation due to its difficult management and often poor functional outcome caused by extensive tissue damage. In this chapter, we intend to discuss the pathophysiology, presentation, and management of globe rupture as a special entity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kuhn F, Morris R, Witherspoon CD, Mester V. The Birmingham Eye Trauma Terminology system (BETT). J Fr Ophtalmol. 2004;27(2):206–10.

    Article  CAS  PubMed  Google Scholar 

  2. Sharma R, Brunette DD. Ophthalmology. In: Marx, editor. Rosen’s emergency medicine. Vol 2, 7th ed. 2009; Chap 69. Saunders (Elsevier), Philadelphia, USA.

    Google Scholar 

  3. Olitsky S, Hug D, Smith L. Injuries to the eye. In: Kliegman R, editor. Nelson textbook of pediatrics. 18th ed. 2007; Chap 634. Mosby (Elsevier), Philadelphia, USA.

    Google Scholar 

  4. Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5(3):143–69.

    Article  PubMed  Google Scholar 

  5. Klopfer J, Tielsch JM, Vitale S, et al. Ocular trauma in the United States: eye injuries resulting in hospitalization, 1984 through 1987. Arch Ophthalmol. 1992;110(6):838–42.

    Article  CAS  PubMed  Google Scholar 

  6. Tielsch JM, Parver L, Shankar B. Time trends in the incidence of hospitalized ocular trauma. Arch Ophthalmol. 1989;107(4):519–23.

    Article  CAS  PubMed  Google Scholar 

  7. Desai P, MacEwen CJ, Baines P, Minassian DC. Incidence of cases of ocular trauma admitted to hospital and incidence of blinding outcome. Br J Ophthalmol. 1996;80(7):592–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Wong TY, Tielsch JM. A population-based study on the incidence of severe ocular trauma in Singapore. Am J Ophthalmol Clin N Am. 1999;128(3):345–51.

    Article  CAS  Google Scholar 

  9. Fong LP. Eye injuries in Victoria, Australia. Med J Aust. 1995;162(2):64–8.

    CAS  PubMed  Google Scholar 

  10. Kanoff JM, Turalba AV, Andreoli MT, Andreoli CM. Characteristics and outcomes of work-related open globe injuries. Am J Ophthalmol. 2010;150(2):265–9.

    Article  PubMed  Google Scholar 

  11. Koo L, Kapadia MK, Singh RP, et al. Gender differences in etiology and outcome of open globe injuries. J Trauma. 2005;59(1):175–8.

    Article  PubMed  Google Scholar 

  12. Rodriguez JO, Lavina AM, Agarwal A. Prevention and treatment of common eye injuries in sports. Am Fam Physician. 2003;67(7):1481–8.

    PubMed  Google Scholar 

  13. Listman DA. Paintball injuries in children: more than meets the eye. Pediatrics. 2004;113(1):15–8.

    Article  Google Scholar 

  14. Harlan Jr JB, Pieramici DJ. Evaluation of patients with ocular trauma. Ophthalmol Clin North Am. 2002;15(2):153–61.

    Article  PubMed  Google Scholar 

  15. Arey ML, Mootha VV, Whittemore AR, et al. Computed tomography in the diagnosis of occult open-globe injuries. Ophthalmology. 2007;114(8):1448–52.

    Article  PubMed  Google Scholar 

  16. Hoffstetter P, Schreyer AG, Schreyer CI, et al. Multidetector CT (MD-CT) in the diagnosis of uncertain open globe injuries. Rofo. 2010;182(2):151–4.

    Article  CAS  PubMed  Google Scholar 

  17. Essex RW, Yi Q, Charles PG, Allen PJ. Post-traumatic endophthalmitis. Ophthalmology. 2004;111(11):2015–22.

    Article  PubMed  Google Scholar 

  18. Mills MD, Devenyi RG, Lam WC, et al. An assessment of intraocular pressure rise in patients with gas filled eyes during simulated air flight. Ophthalmology. 2001;108(1):40–4.

    Article  CAS  PubMed  Google Scholar 

  19. Albert DM, Diaz-Rohena R. A historical review of sympathetic ophthalmia and its epidemiology. Surv Ophthalmol. 1989;34(1):1–14.

    Article  CAS  PubMed  Google Scholar 

  20. DeBacker CM, Holck DEE. Enucleation in orbital trauma. In: Holck DEE, Ng JD, editors. Evaluation and treatment of orbital fractures: a multidisciplinary approach. 2nd ed. Philadelphia: Elsevier Saunders; 2006. p. 365–8.

    Google Scholar 

  21. Esmaeli B, Elner SG, Schork MA, Elner VM. Visual outcome and ocular survival after penetrating trauma. A clinicopathologic study. Ophthalmology. 1995;102(3):393–400.

    Article  CAS  PubMed  Google Scholar 

  22. Kuhn F, Maisiak R, Mann L, et al. The ocular trauma score (OTS). Ophthalmol Clin North Am. 2002;15(2):163–5.

    Article  PubMed  Google Scholar 

  23. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology. 2008;115(1):202–9.

    Article  CAS  PubMed  Google Scholar 

  24. Yu Wai Man C, Steel D. Visual outcome after open globe injury: a comparison of two prognostic models – the ocular trauma score and the classification and regression tree. Eye (Lond). 2010;24(1):84–9.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manabjyoti Barman DO, DNB .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer India

About this chapter

Cite this chapter

Bhattacharjee, H., Barman, M., Bhattacharjee, K. (2017). Globe Rupture. In: Mukherjee, B., Yuen, H. (eds) Emergencies of the Orbit and Adnexa. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1807-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-1807-4_3

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-1806-7

  • Online ISBN: 978-81-322-1807-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics