The getting eye wound

Description:

To the getting wounds of an eye damages treat with disturbance of integrity of covers of an eyeglobe. Wound can be with implementation and without implementation of a foreign body.

Symptoms of the Getting eye wound:

The wound can be linear, chipped, crushed, scrappy, various sizes. Edges of a wound can be adapted, gape, defect of fabric is possible. Symptoms are: eye pain, photophobia, dacryagogue, nictitating spasm. At a palpation most often come to light hypotonia.

Cornea wounds. At the getting cornea wound most often the anterior chamber small or is absent. Seldom in case of very small wounds the anterior chamber remains normal depth. Quite often the iris of the eye which eminates over a cornea in the form of a bubble is restrained in a wound of a cornea. At wound of an iris of the eye bleeding in an anterior chamber - a hyphema which can be localized in a lower part is noted or occupy all camera. At damage of a crystalline lens its partial opacification with loss in some cases in an anterior chamber of lenticular masses is noted. At an injury of a crystalline lens and vitreous the iris, lenticular masses and a vitreous can be restrained in a wound of a cornea.

Wounds of corneal and scleral area are characterized by localization of wounds in the field of a limb with distribution on a sclera. At the same time the covering of a scleral part of a wound conjunctive makes sometimes a false impression about the small extent of wound. The subsequent audit of a wound sometimes reveals spread of a wound of a sclera on the equator. The iris, a ciliary body and a choroid, a crystalline lens and a vitreous can be restrained in a corneal and scleral wound. Hemorrhage in an anterior chamber and a vitreous is observed.

Through wounds of an eyeglobe arise at penetration of a hurting subject through all covers of an eye, there are entrance and output openings. Inlet opening can be in the field of a cornea or a sclera.

It is necessary to consider a possibility of existence of the beginning of inlet opening in an upper eyelid when inlet opening in a sclera happens scarcely noticeable. Besides, inlet opening quite often is not differentiated that is observed sometimes at wounds by a wire, a nail, etc. At extensive through wound there can be a loss of covers of an eye, a vitreous. The hyphema, a vitreous hemorrhage, in a retina is quite often observed. At extensive wound (for example, a ski stick) the retrobulbar hematoma, an exophthalmos, sharp decrease in sight can develop.

The reasons of the Getting eye wound:

The getting wounds can be caused by the cutting or pricking subject, bruises, blow by a stick, hit in a splinter eye. The wound can be limited to a cornea or a sclera, can be combined with an injury of a crystalline lens, iris, ciliary body, vitreous and retina.

Treatment of the Getting eye wound:

Instillation of disinfecting drops (30% solution of Sulfacylum-natrium or 0,25% of solution of levomycetinum), introduction to the conjunctival arch of an eye medicinal film with sulfadimetoksainy or gentamycin, introduction retrobulbarno gentamycin or Kanamycinum. Imposing of an aseptic bandage. Hypodermic administration of tetanic anatoxin and intramuscular administration of antitetanic serum. extraction of the injured crystalline lens, reposition of an iris, sclera, extraction of the injured crystalline lens, reposition of an iris, urgent in an ophthalmologic hospital where primary microsurgical treatment of a wound with suture on a wound of a cornea, sclera is made, at indications - a vitrectomy.