Clinical Case Database / Category: Patient Management

Penetrating eye injury

Publication details

Dr Amreen Qureshi, Mr Vikesh Patel
Foundation Years Journal, volume 9, issue 6, p.55 (123Doc Education, London, June 2015)


Penetrating eye injuries are serious ophthalmic emergencies that can result in severe loss of vision or loss of the eye. Patients who have sustained these injuries present to the emergency department and need prompt assessment and referral to an ophthalmic specialist. A foundation or junior doctor is often the first to diagnose and manage these patients. We present a case of a 28 year old patient who presented with a globe rupture and penetrating eye injury. We discuss the importance of a careful examination and highlight the steps taken in the initial management of these patients. We share the events that occur after referral to an ophthalmologist and the journey a patient goes through when faced with this traumatic injury.

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Dr Amreen Qureshi (Corresponding author)

Ophthalmic Specialist Trainee (Year 3)
North West Deanery
Royal Bolton Hospital,
Eye Unit, Royal Bolton Hospital, Minerva road, Farnworth, Bolton, BL4 0JR

Mr Vikesh Patel

Consultant Ophthalmologist and Oculoplastic Surgeon
Royal Preston Hospital, Lancashire Teaching Hospitals NHS Trust
Eye Unit, Sharoe Green lane, Fulwood, PR2 9HT


1. May DR, Kuhn FP et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefes Arch Clin Exp Ophthalmol. 2000; 238: 153-7.
2. Mittra RA, Mieler WF. Controversies in the Management of Open-Globe Injuries Involving the Posterior Segment. Survey of Ophthalmology. 1999; 44: 215-225.
3. Macenwen CJ. Ocular Injuries. J.R.Coll.Surg.Edinb.1999, 44, 317-23
4. Brady, F. B. A singular view, the art of seeing with one eye (5th ed.). 1994 Ontario, Canada: Edgemore Enterprises.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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