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Corneal and scleral trauma
1Department of Ophthalmology, Baylor College of Medicine, 6565 Fannin, NC 205, Houston, TX 77030, USA. mhamill@bcm.unc.edu
Ophthalmology Clinics of North America
|September 17, 2002
Summary
Managing serious eye trauma involves careful closure of corneal and scleral wounds to restore watertight integrity and function. Specialized techniques like the Rowsey-Hays method are used for long corneal wounds, with suture removal depending on various patient and wound factors.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Corneal and scleral wounds often result from severe ocular trauma.
- Effective management is crucial for restoring globe integrity and visual function.
Purpose of the Study:
- To outline the principles and techniques for managing corneal and scleral wounds.
- To differentiate ocular wound closure from standard skin closure methods.
Main Methods:
- Utilizing the Rowsey-Hays technique for long corneal lacerations.
- Employing a stepwise posterior approach for extensive scleral wounds.
- Considering factors like laceration length, patient age, and suture-induced refractive changes for corneal suture removal.
Main Results:
- Successful watertight closure of the globe is paramount.
- Specific techniques are required for different wound locations and extents.
- Suture removal timing and strategy are multifactorial.
Conclusions:
- Ocular wound closure demands specialized surgical approaches.
- Restoring anatomy and function requires meticulous planning and execution.
- Patient-specific factors influence post-operative management, including suture removal.