Dr.Eram Tandel

Dr.Shreya Shah, Dr. Riddhi Shah, Dr.Vedant Rajoriya

Abstract

AIM-GLOBE RUPTURE OCCURS WHEN OUTER COAT INTEGRITY IS DISRUPTED BY BLUNT OR SHARP OBJECT. IT IS AN OCULAR EMERGENCY AND REQUIRE PROMPT RECOGNITION, ZONE WISE DIVISION AND STRATEGIC INTERVENTION ACCORDINGLY
METHOD-ZONE 3 INJURIES ARE DEFINED AS EXTENSION OF INJURY POSTERIOR TO ANTERIOR 5 MM OF SCLERA, DUE TO BLUNT OR SHARP OBJECTS.GOALS OF MANAGEMENT ARE CLOSING THE GLOBE WITH MINIMAL MANIPULATION, EXCISING/REPOSITING EXPOSED INTRAOCULAR CONTENTS,EXPLORING GLOBE FOR UNRECOGNIZED INJURIES, MAINTAINING OCULAR TISSUE INTEGRITY. IDENTIFY POSTERIOR EXTENT OF LACERATION,FULL CONJUNCTIVAL PERITOMY,CENTRAL 10-0 ETHILON SUTURES FOR EASIER REPOSITIONING OF UVEAL TISSUE.POSTERIOR PART HEALS BY SECONDARY INTENTION,TISSUE LOSS- PATCH GRAFT, CONJUNCTIVA SUTURED WITH 6-0 VICRYL
CONCLUSION-ZONE 3 INJURIES ARE SERIOUS AND COMPLEX SITUATION PRIMARY REPAIR IS IMPORTANT STEP. PROPER PLANNING AND MANAGEMENT MAY HELP FOR PROPER PRIMARY CLOSURE