what happen when somebody got an eye globe rupture?


Question:
my dauther went to surgery last week for an eye globe rupture.
I would like to know what happen next, and what other options she has to keep her eye.

Answers:
I hope your daughter recovers soon.

The outlook on recovery from eye injuries is good: one in five patients with a ruptured eye globe, a serious injury, may continue to have excellent vision and no apparent signs of perforation.

Postoperative management includes preventing infection, suppressing inflammation and controlling pain.

Although no data exist supporting the use of systemic antibiotics after an open globe injury, it's common practice to administer three days of IV antibiotics, followed by 11 days of oral antibiotics. Oral ciprofloxacin has been shown to cross an intact blood-vitreous barrier in appreciable concentrations.

Daily follow-up should include determination of visual acuity, IOP and wound integrity and configuration of the retina (by ultrasound if it isn't visible). If needed, the patient should be referred to a vitreoretinal specialist. Close attention should be paid to corneal wounds, as they can leak when corneal edema decreases.

Follow-up also should include counseling. It's often necessary to repeat conversations that occurred before the operation, as patients and families forget what was said in the hectic, stressful setting of preparation for emergency surgery. Advice from social workers and spiritual support, if appropriate, often are helpful.

If there is no hope of visual recovery in the injured eye, the initial postoperative phase is a good time to remind the patient and family about the risk of sympathetic ophthalmia. At this institution, it's often the practice to have the patient sign a statement documenting his or her understanding of the risk and choice not to proceed with enucleation, should that be the decision. Finally, polycarbonate glasses must be prescribed, and the patient must be urged to wear them at all times.

Other Answers:
It depends on what individual situation, so it is better to ask your daughter's doctor.



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