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
- An open globe, or penetrating eye injury is a serious threat to vision
- In penetrating eye injury, avoid any pressure on the eyeball through examination or padding, as eye contents may be extruded
- Ensure prompt and adequate analgesia. Do not give any eye drops
- 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.