Dr. JEMINI SHRIGOVIND PANDYA

, Dr. MEHUL SHAH, Dr. SHREYA SHAH, Dr. DEEKSHA THORAT

Abstract

AIM-GLOBE RUPTURE OCCURS WHEN OUTER COAT INTEGRITY IS DISRUPTED BY BLUNT OR SHARP OBJECT. IT IS AN OCULAR EMERGENCY AND REQ PROMPT RECOGNITION, ZONEWISE 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 POST EXTENT OF LACERATION,FULL CONJUNCTIVAL PERITOMY,CENTRAL 10-0 ETHILON SUTURES FOR EASIER REPOSITIONING OF UVEAL TISSUE.POST 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