Last reviewed:December 2019
Last updated:October
2019
Summary
Definition
History and exam
Key diagnostic factors
- hyphaema
- ecchymosis
- severe eye pain
- blurred vision
- corneal abrasions
- corneal oedema
- sub-conjunctival haemorrhages
- conjunctival lacerations
- punctate epithelial erosions
- loss of sight
Other diagnostic factors
- excessive lacrimation
- conjunctival chemosis
- conjunctival hyperaemia
- corneal epithelial defect/abrasion
- open globe injury
- eyelid burns
- photophobia
- diplopia
- miosis
- corneal stromal clouding
- iridodialysis
- conjunctival foreign body
- corneal foreign body
- Descemet's membrane tears
- corneoscleral lacerations
- persistent headache
- loss of consciousness
- blood or clear fluid from ears or nose
- inability to move eye(s)
Risk factors
- age 18-45 years
- male sex
- no protective eyewear
- workplace injuries
- fireworks
- exposure to ultraviolet light
- previous eye surgery
Diagnostic investigations
Treatment algorithm
Contributors
Authors
Assistant Professor of Ophthalmology
Residency Program Director
Director, Eye Trauma Center
Wilmer Eye Institute
Johns Hopkins University School of Medicine
Baltimore
MD
Disclosures
FW declares that she has no competing interests.
Dr Fasika Woreta wishes to gratefully acknowledge Dr Ron Adelman and Dr Elena Raluca Raducu, previous contributors to this topic.
Peer reviewers
Assistant Professor of Ophthalmology
Mount Sinai Medical School
New York
NY
Disclosures
PP is an author of a reference cited in this topic.
Consultant Ophthalmologist
Sunderland Eye Infirmary
Sunderland
UK
Disclosures
SF declares that he has no competing interests.
Consultant Ophthalmologist
Sunderland Eye Infirmary
Newcastle
UK
Disclosures
DA declares that he has no competing interests.
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