DR. ASHWINI KORANNE

, Dr. DEEKSHA THORAT, Dr. MEHUL SHAH

Abstract

INTRODUCTION:GLOBE RUPTURE OCCURS WHEN OUTER COAT INTEGRITY IS DISRUPTED BY BLUNT OR SHARP OBJECT. IT IS AN OCULAR EMERGENCY AND REQUIRES PROMPT RECOGNITION, ZONEWISE DIVISION AND STRATEGIC INTERVENTION.

CASE:A 40 FEMALE PRESENTED WITH INJURY BY CATTLE HORN 3 HOURS BACK IN RIGHT EYE .ON EXAMINATION HER BCVA WAS HAND MOVEMENTS.SLIT LAMP EXAMINATION REVEALED A ZONE 3 TEAR WITH VITREOUS IN WOUND ,ANTERIOR CHAMBER COLLAPSED WITH HYPHEMA AND NO VIEW OF LENS STATUS. PRIMARY GLOBE REPAIR WAS DONE UNDER TOPICAL ANESTHESIA .VITRECTOMY WAS PERFORMED IN NEXT SETTING TO EVALUATE POSTERIOR SEGMENT AND MANAGE ACCORLDINGLY.ON SUBSEQUENT POSTOPERATIVE FOLLOW UP HER BCVA WAS HM 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