The images below are
graphic, and may be
repulsive to some.
Open eye trauma
Penetrating eye injury requires immediate
referral to an eye specialist
because of the risk of devasting ocular infection.
Most commonly seen in children at play
with sharp object
Shattered windshield in road traffic
projectiles (missles) at work place
Visual acuity is reduced due to cornea
distortion or blood
Most injuries involves the cornea or at
the corneoscleral junctions.
of the iris or pupil should alert the
possibility of open eye injury.
This patient sustained a left
peforating eye injury when his friend threw him a
sharp pencil at school. The visual
acuity was hand movement. Note the
displacement of the iris and pupil towards 8
O'clock where the perforation
occurs at the corneoslceral junction. He was
admitted for wound repair and
was given antibiotic cover. The eventual
visual acuity was 6/12 with glasses.
Another patient with a penetrating
Note the iris prolapse and the "tear
drop" shape iris. It is
important to exclude the presence of
intraocular foreign body.
This man sustained a right corneal
laceration in a road traffic
accident from a broken windshield. The
picture shows the
cornea immediately following primary