In lacerations of the conjunctiva, sutures are not necessary To prevent infection, topical sulfonamide or other antibiotic is used until the laceration is healed C Cornea or Sclera Patients with suspected corneal or scleral laceration or rupture (open globe injury) must be seen emergently by an ophthalmologist Manipulation is kept to a minimum, since pressure may result in extrusion of intraocular contents The eye is bandaged lightly and covered with a shield that rests on the orbital bones above and below The patient should be instructed not to squeeze the eye shut and to remain still If there may be a metallic intraocular foreign body, a radiograph or CT scan is obtained to identify and localize it MRI is contraindicated because of the risk of movement of any metallic foreign body but may be useful for non-metallic foreign body Endophthalmitis occurs in over 5% of open globe injuries

When to Refer

Patients with suspected open globe injury must be referred emergently to an ophthalmologist