Spontaneous globe rupture in an eye with long-standing vision loss: a case report
Main Article Content
Keywords
corneal rupture, open-globe injury, spontaneous globe rupture
Abstract
Introduction: Globe rupture is a form of open-globe injury commonly caused by blunt force. Spontaneous presentations are uncommon and easily overlooked.
Case description: A 62-year-old man was admitted with acute, painful bleeding from his right eye without a history of trauma. He had a history of uncontrolled hypertension. He reported cataract surgery on the right eye in 2008, but vision in that eye did not improve following the procedure. Presenting visual acuity was no light perception. Examination showed blepharospasm, conjunctival and pericorneal injection, and diffuse corneal opacity. A large hyphema obscured the iris and posterior segment. Evisceration was performed as the definitive management of this case.
Conclusion: Spontaneous globe rupture is a rare, vision-threatening ophthalmologic emergency. Early identification and urgent operative management are essential for pain control and complication prevention.
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