HEAD, EYE, EAR, NOSE, AND THROATEMERGENCIESRuptured Globe/Corneal Laceration
SYMPTOMS/EXAM
■ Associated hyphema
■ Prolapsed iris or other intraocular tissue
■ Peaked pupil points to the rupture site (see Figure 14.46)
FIGURE 14.45. Hyphema present in the bottom portion of the anterior chamber seen
in photo and schematic.
(Courtesy of Dallas E. Peak, MD as published in Knoop KJ, Stack LB, Storrow AB. Atlas of
Emergency Medicine,2nd ed. New York: McGraw-Hill, 2002:105.)
Rule out ruptured globe if you
see a hyphema in the setting
of trauma.FIGURE 14.46. Ruptured globe as evidenced by herniation of Iris through the cornea
and an irregular pupil shape. Do not send this patient home—surgery is needed.
(Reproduced, with permission, from Knoop KJ, Stack LB, Storrow AB. Atlas of Emergency
Medicine, 2nd ed. New York: McGraw-Hill, 2002:109.)