Injury on the Orbita
Damage that occurred greater than that of blunt injury because the ball can damage the optic nerve eyes, which can cause blindness or damage to the muscles so that bulbi muscle paralise and diplopia. Thus will easy secondary infection to occur when there is a foreign object left behind in the eyeball. Make the image rays to ensure the cavum orbita, handling appropriate procedures, and provision of anti tetanus and antibiotics because of possible secondary infection is high.
Eye Ball
Specify whether or not perforation occurred. Eyeball perforation marks the room with the eye with a shallow slices that sometimes stick to the cornea or even out through the perforation holes, TIO will down, fistel test positive. If on the posterior part will bleeding occurs in the corpus vitreous, koroid, and also the retina, TIO decreased, can also occur ablasi retina.
injured in conjunctiva
Konjungtiva cause bleeding, when smaller akan recover spontaneously, when a large sewing required.
injury in the cornea
If no perforation, if any, take a foreign object attached to provide local anesthesia drops. Next should be given antibiotics, the wound should not be a new steroid, but if neovaskularisasi form of limbus give cortisone local / subkonjungtiva.
If there is a small perforation, conjunctiva immediate release from the limbus nearest perforation hole cover (flap conjunctiva). If the large holes must be sewn first and then do the flap conjunctiva. Slices cut out, the rest reposisi. If the perforation is then do a few hours flushing with antibiotics before sewed. Give anti tetanus and broad spectrum antibiotics. Do not give steroid up to 5 days. Examination should be performed against the other (healthy). May be possibility of iritasio simpatico with the healthy eye: decreased visus, lakrimasi, injection sillier, difficult to read, Flare (+).
Sklera Injury
Wound because this can cause dangerous bleeding body glass, fill out eyeball, secondary infection, and ablasi retina. If there is a small wound, clean and close to the conjunctiva, while the wound is large but still be able to view, clean, atasi bleeding, remove the exit of the perforation, sewing without the koroid, close to the conjunctiva. Give atropin and both eyes must be closed. If the wound can not be great and to see a return to the recommended enukleasi to avoid oftalmia simpatico in the eyes healthy.
Ciliare On Board Injury
Injuries here have a bad prognosis because the most likely cause endoftalmitis, panoftalmitis ended with ptisis bulbi in the affected eye trauma and oftalmia simpatico on the healthy eye.
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