Dr.Sakshi Makhloga

Dr.Vedant Rajoriya, Dr. Raj Vador, Dr. Bhumi Chandarana

Abstract

GLOBE RUPTURE OCCURS WHEN OUTER COAT INTEGRITY IS DISRUPTED BY BLUNT OR SHARP OBJECT. IT IS AN OCULAR EMERGENCY & REQUIRES PROMPT RECOGNITION, ZONEWISE DIVISION AND STRATEGIC INTERVENTION.
A 40 YEAR OLD FEMALE PRESENTED WITH INJURY BY CATTLE HORN 3 HOURS BACK IN RIGHT EYE .ON EXAMINATION HER BCVA WAS. SLIT LAMP EXAMINATION REVEALED A ZONE 3 TEAR WITH VITREOUS IN WOUND ,ANTERIOR CHAMBER COLLAPSED WITH HYPHEMA AND LENS STATUS WAS NOT CLEAR DUE TO UNCLEAR MEDIA. PRIMARY GLOBE REPAIR WAS DONE UNDER TOPICAL ANESTHESIA .VITRECTOMY WAS PERFORMED IN NEXT SETTING TO EVALUATE POSTERIOR SEGMENT & MANAGED WITH ORAL AND TOPICAL STEROIDS,TOPICAL ANTIBIOTICS AND CYCLOPLEGICS.ON SUBSEQUENT POSTOPERATIVE FOLLOW UP HER BCVA WAS HAND MOVEMENT AND EYEBALL INTEGRITY WAS MAINTAINED.
CONCLUSION-ZONE 3 INJURIES ARE SERIOUS AND COMPLEX SITUATION. PROPER PLANNING AND MANAGEMENT WITH PRIMARY REPAIR IS A CRUCIAL STEP FOR BETTER PROGNOSIS.