Eye Injuries

 1-Blunt(contusion)  2-Perforating Injury  3-Perforating Injury & retained foreign body  4-Chemicals ( acid – alkaline ) & burns  5-Sonar (sun rayes Ultra violet Enfera red)  6-Extraocular foreign body

Blunt Trauma  By fist ball can cause abrasion to rupture globe 1- cornea ( abrasion – oedema – staining – tear ) 2- sclera (rupture – haemorrhage )  3- iris & ciliary body ( miosis – mydriasis – laceration – iridodialysis – antiflexion – retroflexion – aniridia – cyclodialysis – hyphaema )  4- lens ( vossius’s ring – cataract – dislocation – subluxation – tear )  5- vitreous ( opacities – haemorrhage – herniation – loss )  6- choroid (rupture – haemorrhage – detachment )  7- retina ( macular edema – degeneration – cyst hole – retinal tear – retinopathy )  8- optic nerve ( atrophy – avulsion )

Eversion Of Eyelid 1Eversion Of Eyelid 2

Orbital and subconjunctival haemorrage

Corneal foreign body Corneal abrasion staind with furecein

Hyphaema Iridodialysis

Subluxated lens

Metal foreign body embedded the iris Perforating wound with prolapsed iris inferiorly

Perforating Injury  Aim of treatment : i. To save vision ii. To prevent sympathetic ophthalmitis  Signs : 1. drop of VA 2. Hypotony 3. Shallow AC – hage 4. change of pupil 5. conj edema ( chemosis ) 6. subconj hage 7. iris hole 8. wound track in corneal, lens & vitreous

Perforating Injury with retained foreign body  ( iron – steel – stone – glass – lead pellet – wood spicules )  Effects : 1. mechanical 2. infection 3. chemical action ( inert metal – little reaction – suppuration ) 4. degenerative changes (siderosis - chalcosis )

Choroidal tears and haemorrhage Solar macular burn