Can a ruptured eyeball injury be cured, and can a scratch repair on its own?

**Principle, 1. If there is hope of regaining vision, suture and repair the wound as soon as possible; , 2. Antibiotics to prevent and treat infections; , 3. Complications; 4. If the rupture is severe, and there is no hope of regaining vision, the eyeball should be removed in time. 1. If the iris inflammation is severe, dexamethasone can be taken orally or intravenously; 2. For patients with intraocular infection, systemic and topical antibiotics should be applied for an appropriate extension of the medication time. , Common sense of prevention:

Eyeball rupture injury has serious damage to visual function, and once it occurs, you should seek medical attention in time and strive to suture the wound within 24 hours. Do not squeeze the eyeball to avoid further prolapse of the intraocular tissues and aggravate the damage. It is strictly forbidden to hurt the eyes with Chinese herbal compresses.

For ruptured globe injuries, attention should be paid to the presence of foreign bodies in the eye and the possibility of sympathetic ophthalmia in the future. Patients should be examined regularly, especially within 2 months after injury, and should be followed up. View the original post

In your case, it is best to seek medical attention in time, as for being able to have vision, it is not necessarily. The key is to see if the retina is damaged, if the retina is damaged, it is difficult to estimate, if there is no damage, there is hope, you can do intraocular lenses, it is best to avoid sympathetic ophthalmia in time.

Overview: Broken eye injury is a severe ocular trauma caused by the rupture of the eyeball wall tissue caused by the violent action of the eyeball. If the eyeball is ruptured, the transparent refractive medium and the light-sensitive retina will be affected, and severe vision loss may occur.

At the same time, intraocular hemorrhage often occurs, which affects vision. After injury, sympathetic ophthalmia can develop, which carries the risk of blindness in both eyes. In the event of an intraocular infection, it is difficult to maintain the original visual function even if it is obtained in time.

Therefore, the prevention and treatment of eye trauma should be actively strengthened.

Clinical manifestations:1Severe loss of vision, even no light perception;

2.very low intraocular pressure; 3.Corneal and scleral tears can be seen, and in severe cases, eyeball collapse can be seen;

4.anterior chamber and vitreous may be filled with hemorrhage;

5.The wound may have intraocular tissue incarceration or prolapse.

Basis for diagnosis:1History of severe contusion;

2.Severe visual impairment, even no light perception;

3.corneal and scleral tears;

4.low intraocular pressure;

5.Orbital CT or orbital MRI shows incomplete globe wall.

**Principles:1If there is hope of regaining vision, the wound should be sutured and repaired as soon as possible;

2.antibiotics to prevent and treat infections;

3.**Complication;

4.If the rupture is severe, and there is no hope of regaining vision, the eyeball will be removed in time.

Principles of medication:1If the iris inflammation is severe, it can.

This is very serious, you must go to the hospital for examination in time, mainly to see the current situation of the retina, you must not listen to the indiscriminate medication on the Internet, going to the hospital is the first priority.

Whether the eyeball scratch can be recovered mainly depends on the degree of scratch, and the slight scratch of the eyelid is not a big problem, and it can be repaired by yourself. However, you must go to the ophthalmology department for an eye examination, the cornea is divided into 5 layers, if it is only scratched by the epithelial layer, pay attention to avoid infection, it can generally be repaired by itself, the conjunctiva is not completely scratched, or the sclera is not damaged, it can be repaired by itself, if there is no exposure, it can be repaired by itself. The above popular science knowledge is for reference only, I hope it will be helpful to you.

Whether there is any foreign body left in the scratch area. Generally speaking, the ocular surface is relatively small, and scratches less than 3mm can be closed without suturing, and the patient can generally heal within 24 hours, and then cooperate with some antibiotics to prevent infection. If it is more than 3mm, whether it is the conjunctiva or the cornea, it is basically necessary to suture**.

Among them, we should pay attention to whether there are foreign bodies left in the wound, if there are iron filings remaining, and the iron filings are going to rust, if there is copper, there will be patina; If it's a plant that's worse, it can sometimes lead to a fungal infection; For other foreign bodies, there are bacteria remaining, so if you want to deal with foreign bodies, you must remove them to prevent infection.

Patients must go to the hospital, because there are some relatively small wounds, especially corneal wounds, but foreign bodies may enter the cornea, and patients may have pain at the beginning, there may be hot tears gushing out, sometimes there is no bleeding. Infection can occur when a foreign body enters the eye, and the consequences are often severe.

A ruptured eyeball injury may constitute a minor injury, subject to forensic evaluation.

The Supreme People's Court, the Supreme People's Procuratorate, the Ministry of Public Security, the Ministry of National Security, and the Ministry of Justice "Standards for the Identification of the Degree of Human Injury" Visual Impairment Standards:

Minor injuries of the first degree. a) Traumatic glaucoma, which is difficult to control intraocular pressure.

b) Complete loss of the iris in one eye.

c) severe visual impairment in one eye; Moderate visual impairment in both eyes.

d) The radius of the visual field of one eye is less than 30o (the effective value of the visual field is less than 48%); The radius of the visual field of both eyes is less than 50o (the effective value of the visual field is less than 80%).

Minor injuries of the second degree. a) Penetrating or ruptured eyeball; Anterior chamber hemorrhage requires surgery**; receding corners; disconnection at the root of the iris or iris defect more than 1 quadrant; ciliary detachment; lens dislocation; vitreous hemorrhage; traumatic retinal detachment; traumatic retinal hemorrhage; traumatic macular hole; Traumatic choroidal detachment.

b) corneal patches or vascular pannus; traumatic cataracts; traumatic intraocular hypotension; Traumatic glaucoma.

c) Significant deformation of the pupil due to pupillary sphincter injury or dilated pupil (diameter of more than 15px).

d) strabismus; Diplopia.

e) Eyelid adhesions.

f) Eye-corrected visual acuity loss to below (or above pre-injury visual acuity); Binocular corrected vision loss to below (or more than pre-injury vision loss); Those with visual impairment above the middle in the original single eye will have their visual acuity reduced by one level after the injury.

g) The radius of the field of vision is 50o or less (the effective value of the field of view is less than 80%).

Once the cornea rupture occurs, it must be timely**, after eye trauma, it is easy to cause infection, intraocular bleeding, and even sympathetic ophthalmia, which can lead to blindness in both eyes. Once you encounter an eye injury, there is obvious pain and foreign body sensation, you should go to the hospital as soon as possible.

Generally speaking, if the cornea rupture is greater than 3mm, the wound will be sutured, if it is less than 3mm, it will be seen whether there is exudate in the anterior chamber. The impact of corneal rupture on vision depends on the location of the corneal rupture, because the cornea has been perforated, and corneal leukoplakia will definitely remain. If the corneal leukoplakia is located in the center of the visual axis, it will have a great impact on vision, but the corneal leukoplakia will not increase with age.

In general, corneal rupture and perforation can take at least 3 months to fully heal.

After the cornea is ruptured, the first thing to check is whether there is a foreign body in the eye, and the wound can be sutured only after confirming that there is no foreign body. If the rupture of the cornea has a significant impact on vision, resulting in low vision and blindness, a corneal transplant may be considered. The cornea is the window through which light enters the eyeball, and if the cornea is infected or damaged, it will cause the cornea to be cloudy, and the light transmittance will decrease or even disappear, resulting in blindness, while corneal transplantation can restore vision to the eye and achieve a better vision.

This rupture of the cornea will lead to this blurred vision, and different methods can be selected according to the severity of this rupture. In view of the current situation, it is necessary to go to a professional ophthalmology department to make a clear judgment and choose a leading way of drug conservative and surgical repair according to different situations.

If the cornea ruptures, first of all, the aqueous humor will flow out, and the nutrients that are lost to the tears will not be supplied, and at the same time, the refractive system of the eye will be destroyed, so there will be frontal double vision, and severe vision loss can occur, and if there is infection, then there will be atrophy of the eyeball, which is more serious.

Corneal rupture is very serious, because the human cornea is very fragile, once the cornea ruptures, it is very easy to infect, or intraocular bleeding, if not timely**, it may lead to blindness. If the doctor has diagnosed the rupture of the cornea, it must be accepted in time**, and the **training must be done to prevent the eyes from being left with sequelae.

Analysis: (1) Corneal epithelial abrasion with obvious pain, photophobia and tearing, accompanied by vision loss. Epithelial defects are fluorescein-stained and can cause ulceration if infection develops. Antibiotic eye ointment can be applied and bandaged to promote epithelial healing.

2) The corneal stromal layer is edematous, thickened and turbid, and the Descemet's lamina folds can be localized. Caused by acute inversion of the cornea, the endothelium and descemet's force have ruptured. Glucocorticoid eye drops may be prescribed and, if necessary, mydriatic agents.

Spring is windy and sandy, foreign bodies are easy to enter the eye, at this time do not rub the eyes with your hands, according to the different parts of the eye, take different treatment methods:

Corneal foreign body: The cornea is located in the middle of the front of the eyeball, like a ripe grape, with a prominent and transparent surface. Corneal foreign bodies are most commonly caused by iron filings or chaff falling onto the cornea.

Once a foreign body enters the eye, it immediately causes eye pain, tearing, congestion, and a heavy foreign body sensation. At this time, gently close your eyes for a while, and sometimes the foreign body will be expelled with the tears as the tears are rinsed and the blinking action is made. However, many people are accustomed to rubbing their hands after "blinding".

Sometimes the foreign body comes out, but the epithelium of the cornea, the black eyeball, is scratched, and the bacteria and viruses on the hand can be brought into the eye when rubbing the eye, causing inflammation of the corneal epithelium that is bruised, which directly affects vision. The closer the foreign body is to the corneal surface or protruding surface, the more severe the pain and tearing symptoms; The foreign body is embedded in the inner layer of the cornea, and the symptoms are less severe because the surface of the cornea is rich in sensory nerves. Therefore, when the symptoms of corneal foreign body are mild, you must not be paralyzed and careless, and you should not think that the pain is not severe and there will be no major problems, but you should go to the hospital in time**.

Conjunctival foreign body: The conjunctiva is a mucosal tissue that covers the mucous membranes in front of the eyeball and inside the upper and lower eyelids except for the cornea; bulbar conjunctiva, i.e. a layer of mucosa that covers the surface of the sclera in front of the eyeball except for the cornea; The conjunctiva of the fornix is the part of the palpebral conjunctiva that connects to the bulbar conjunctiva. The most common place for conjunctival foreign bodies to occur is the palpebral conjunctiva of the upper eyelids, which is generally caused by wind and sand; secondly, the junction of the sclera and the cornea, that is, the place where black and white divide in front of the eyeball; Third, it is the conjunctival foreign body in the fornix, because this place is relatively large, the foreign body can be retained for a long time, and it can generally not be found until it is inflamed.

Improper treatment can also cause corneal abrasions and even inflammation that can affect vision. The best thing to do is to go to the hospital, ask an ophthalmologist to remove the foreign body, and then drop anti-inflammatory drops or oral antibiotics as appropriate.

Intraocular foreign body: Intraocular foreign body is the most serious type of ocular foreign body, which is an ocular trauma, which can affect vision in mild cases, and can lead to serious damage to the eyeball or even forced to remove the eyeball. To make matters worse, one eye is often inflamed, and the other is often inflamed, and both eyes may become blind.

Therefore, it is important to ignore the foreign body in the eyeball and go to the hospital as soon as possible**. Industrial trauma predisposes to foreign bodies in the eyeball. Usually, foreign bodies in the eye enter the eye by accidentally injuring the eyelid and penetrating the cornea, cornea and sclera, among which the cornea has the most chance of penetrating the cornea.

The method of foreign body in the eyeball is more complicated, except for the removal of the knife.

In addition to foreign bodies, magnets are sometimes used to attract foreign objects according to their metal characteristics.