Injury to the eye

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Abstract
How the injury was sustained gives clues about what to look for during the examination. If there is a history of any high velocity injury (particularly a hammer and chisel injury) or if glass was involved, a penetrating injury must be strongly suspected and excluded. If there has been a forceful blunt injury (such as a punch), signs of a “blowout” fracture should be sought. The circumstances of the injury must be carefully recorded as they may have important medicolegal implications. It may not be possible to get an accurate and reliable history from children if an adult has not witnessed the injury. Such injuries should be treated with a high index of suspicion, as a penetrating eye injury may be present.

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