Globe rupture is an ophthalmologic emergency. A ruptured globe or an open-globe injury must be assessed in any patient who has suffered orbital trauma because open-globe injuries are a major cause of blindness. In blunt trauma, ruptures are most common at the insertions of the intraocular muscles where the sclera is thinnest. If intraocular contents are visualized at clinical examination, a diagnosis of a ruptured globe can be obvious. Rarely atraumatic spontaneous rupture is seen, e. While obvious globe rupture is a contraindication to ocular ultrasonography, less obvious cases may be incidentally detected with ultrasonography after ocular trauma.
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