60.6 Penetrating injuries of the globe

The anterior part of a patient’s globe is most at risk. His lens may be injured, and there may be a foreign body in his globe (60.9). Try to diagnose and treat him within 24 hours; delay worsens the prognosis for his sight. You may see the injury, and if it is in his cornea, it may be plugged by iris. It may be small, so look carefully. All you may see is a tiny hole in his iris and an opacity in his lens. Provided you are sure that there is no foreign body, suture any lacerations by the methods in Section 60.4