The mode, duration, time of onset, and object type should be documented. The patients usually present with a history of pain, redness, and sudden loss of vision of short duration. The open globe injuries result in irreversible visual sequelae and cause substantial financial loss and psychological impact on the patient and their families. Scleral and limbic laceration can result from sharp pointed objects, scissors, thorns, iron nails, fish hooks, wood pieces, etc. It is an important cause of unilateral vision loss in developing countries. Trauma is an important cause of cornea blindness and is second only to corneal ulcers causing severe vision loss. It dictates the role of the interprofessional team in managing patients with this condition. This activity reviews the essential clinical findings associated with the evaluation and treatment of scleral and limbal lacerations. The prognosis is governed by tear length and the nature of the injury. The treatment is surgical, and the laceration must be sutured with 9-0 or 10-0 nylon sutures to have a good anatomical and functional outcome. These conditions must be promptly diagnosed and treated to minimize irreversible visual impairment and contralateral ocular inflammation. Imaging is indicated postoperatively and in patients with an associated intraocular foreign body. The diagnosis is clinical, and the seidels test is used preoperatively to assess the aqueous leak. The findings may be variably present and differ from case to case. There may or may not be associated vitreous prolapse. The clinical manifestations include conjunctival congestion, subconjunctival hemorrhage, breach in the continuity of sclera or corneal limbus (partial or full thickness), iris prolapse, and peaking of the pupil, breach in the anterior lens capsule. The lacerations usually result from sharp and pointed objects like scissors, thorns, iron nails, fish hooks, wood pieces, etc. Scleral and limbal lacerations are a form of open globe injuries associated with significant visual loss.
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