Penetrating Eye Injury / Globe Rupture

Mechanism: high-velocity penetrating injury (metal-on-metal, glass, knife), blunt trauma with rupture (rare), gunshot. Features: • Reduced vision. • Hyphaema, vitreous haemorrhage. • Distorted pupil (peaked / teardrop) → uveal prolapse. • Subconjunctival haemorrhage 360° (Bermuda triangle of the eye). • Conjunctival chemosis. • Soft globe (low IOP — but DO NOT measure IOP if rupture suspected — pressure can extrude intraocular contents). • Visible foreign body / wound. • Reduced VA, RAPD. DO NOT: • Measure IOP (Tono-Pen, Schiötz). • Apply pressure / forced eyelid opening. • Remove visible foreign body. • Pad firmly. • Allow Valsalva (vomiting, straining).