The Penetrating eye injury CPG has been updated and reviewed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). This CPG now includes signs suggestive of a globe perforation and images of penetrating eye injuries for reference.  

CPG key points  

1. An open globe, or penetrating eye injury is a serious threat to vision 
2. In penetrating eye injury, avoid any pressure on the eyeball through examination or padding, as eye contents may be extruded 
3. Ensure prompt and adequate analgesia. Do not give any eye drops 
4. If identified or suspected, stop examination, place an eye shield over the eye, keep nil by mouth and urgently refer to ophthalmology. Urgent imaging may also be required.