Difference between penetrating versus blunt ocular trauma in diagnosis, treatment and complications

Abstract

Ocular trauma can be broadly classified into open and closed injuries. However, many subclassifications were reported based on the causative object and extent of the injury. The diagnosis and management of the various ocular traumas are different based on the underlying etiology, the severity of the case and the potentially related complications. Accordingly, in the present study, we aimed to conduct a thorough discussion about the diagnosis, treatment, complications of the blunt and penetrating ocular traumas and the potential differences between the two types of injuries. Our findings indicated that the diagnosis of the conditions mainly differed in the step of obtaining an adequate history from the affected patients based on the diagnosis of the condition that can be established. Furthermore, a routine examination should also be performed for both cases to enhance the prognosis and preserve vision. In addition, prognosis is usually worse in cases of penetrating or perforating injuries where eye inoculation might be indicated in severe cases. A detailed description of this information is provided within the manuscript based on the etiology of the underlying ocular injury and the related prognostic outcomes.