بسم الله الرحمن الرحیم. CORNEOSCLERAL TRAUMA a. Blunt trauma b. Penetrating...
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Transcript of بسم الله الرحمن الرحیم. CORNEOSCLERAL TRAUMA a. Blunt trauma b. Penetrating...
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بسم الله الرحمن الرحیم
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CORNEOSCLERAL TRAUMA
![Page 3: بسم الله الرحمن الرحیم. CORNEOSCLERAL TRAUMA a. Blunt trauma b. Penetrating trauma c. Perforating FB.](https://reader038.fdocument.pub/reader038/viewer/2022102800/56649e205503460f94b0c827/html5/thumbnails/3.jpg)
a. Blunt trauma
b.Penetrating trauma
c. Perforating FB
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a. Accurate history
b. Slit-lamp examination
c. Imaging Studies
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SURGICAL REPAIR
AnesthesiaPrep & Drape
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Corneal Suturing
1. Uniform approximation of the wound edges
2. Selective suture removal
3. Less astigmatism is induced
4. Flexibility in the closure of an irregular wound.
Interrupted Suture
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Lens Involvement
1. Definite rupture of the lens capsule with cat formation
2. A clean ( non infected ),noncomplex corneal laceration
3. Absence of scleral extension
4. Absence of RD or intraocular infection
5. Persistence of the zonules & posterior capsule
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Vitreous Prolapse
Corneoscleral Lacerations
IOFB
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Post oprative careTopical and systemic antibiotics
7 to 10 days
Cycloplegic
Topical Steroids
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Complication of mechanical Trauma to the cornea
a) Hyphema
rebleeding 2 to 5 days
antifibrinolytic (aminocaproic acid,tranexamic acid)
side effects: nausea & vomiting,
contraindicated in pregnancy,
cardiac, hepatic or renal disease
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b. Increase IOP
c. Corneal blood staining 2-11%
d. Infection
Bacterial , Viral , Fungal
e. Cat
f. Glucoma
g. RD
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