What causes a ruptured eyeball?
Nov 29, 2024
Source: Cainiu Health
Dr. Wang Shuai
Introduction
Ruptured globe may be caused by strong impacts, weakness of the eyeball itself, blunt trauma, blast injuries, complications from eye surgeries, or other reasons. When subjected to a powerful external impact, the wall of the eyeball may be unable to withstand the pressure and rupture. Immediate medical attention is required, including globe suturing surgery, along with administration of medications for infection prevention and intraocular pressure reduction.
Generally, globe rupture may be caused by strong impacts, inherent weakness of the eye, blunt trauma, blast injuries, complications from eye surgery, and other similar reasons. If discomfort occurs, timely medical attention is recommended. Detailed explanations are as follows:
1. Strong Impact
When subjected to a powerful external force, the eyeball wall may rupture due to the pressure. Immediate medical attention is required, including surgical suturing of the eyeball, along with administration of medications for infection prevention and intraocular pressure reduction.
2. Inherent Weakness of the Eye
Structural defects in the ocular wall or genetic factors may decrease the eye's ability to withstand external forces. Emergency medical care is necessary, with surgical treatment based on the severity and location of the rupture. Enhanced postoperative care and rehabilitation are also required.
3. Blunt Trauma
Blunt force trauma to the eye, such as accidental collisions during ball sports, may cause rupture of the ocular wall. Emergency surgical repair of the ocular wall is necessary, including removal of intraocular foreign bodies and blood. Retinal reattachment surgery may be required if necessary.
4. Blast Injury
The shock wave and high-speed fragments generated by an explosion can exert immense pressure instantaneously, causing globe rupture, often accompanied by intraocular foreign bodies and severe internal ocular damage. Emergency surgical repair of the globe, removal of intraocular foreign bodies, and measures to prevent infection are required.
5. Complications from Eye Surgery
During ocular surgery, accidental globe rupture may occur due to misuse or slippage of surgical instruments. The surgery should be stopped immediately, and measures taken to control bleeding and infection. The globe should be sutured or otherwise repaired according to the severity of the rupture. Postoperative anti-infective treatment and care should be intensified.
After surgery, patients should rest adequately, limit physical activity, and avoid strenuous exercise and heavy physical labor to prevent intraocular hemorrhage or wound dehiscence.
