definition [ edit ]

By a blunt injury of eyeball it comes to so-called Augapfelprellung which result in different diseases can result.

2 Causes [ edit ]
Blunt force impacts in the area of the globe ( eyeball ), or orbit are the main causes of Augapfelprellung. This can occur, for example in the form of a fist strike or throw a snowball. But as sports injuries are possible with a tennis ball.

[3 symptoms Edit ]
In addition to pain , depending on the severity of the bruise, the vision may be impaired. Temporary double vision are also possible.

4 Diagnosis [ edit ]
First is usually a strong swelling of the eyelids observed. The conjunctiva (conjunctivitis), is swollen and in most cases due to increased blood flow reddened. Simultaneously, it is to form an edema of the cornea ( cornea ), which can act for a turbidity unclear. Here, the intraocular pressure may be increased. Edema can also occur on the back of the eye, where there is hemorrhaging from nearby vessels may occur. Violations of the retina ( retina ) to the detachment of the retina ( retinal detachment ) are consequences that occur due to a concussion of the eyeball. Often a unrounding is pupil observed, since the Irissphinkter which is responsible for narrowing the pupil injured, and therefore, is nonfunctional. This is not a complete response to light with the corresponding changes as miosis and mydriasis a healthy pupil longer possible. With demolition of the iris root results in the distortion of the pupil or expression of "two" pupils that the perception of causes double vision. Lens at stake it can lead to occurrence of a so-called Kontusionsrosette. This symptom is characterized by a star-shaped cow clouding of the lens and by a bearing surface of dispersed traumatic iris pigment on the lens. Further, a lens luxation , so a twist from the usual position possible. In the most severe cases, a break occurs in the bulb wall from which the optic nerve may escape. It is important to also consider whether foreign objects are left in the eye.

5 Therapy [ Edit ]

To lower the intraocular pressure drug therapy and continuous control measurements are necessary. Injury to the retina are usually with the help of a laser -corrected surgery. Consequential damages that may be little or no improvement, are cataracts , reading difficulties associated with headache , or a remaining dilated pupil with an associated light sensitivity. Tags: Augapfelprellung , eye contusion , Contusion Specialties: Ophthalmology

[Pathogenic mechanism of contusio bulbi].

[Article in German] Berg P, Kroll P, Krause K. Abstract

We examined experimentally the pathomechanism of ocular contusion and its damaging influence on the retina. Therefore, various jabbing instruments were used with which a definite trauma can be obtained. The physical parameters, the localization of the trauma and their importance for the injury and the intraocular pressure were analyzed. We found that the amount of energy has no special influence on the kind of ocular contusion, but that it does influence the dynamics of an injury. In direct trauma, the location where the eye is struck, e.g. the cornea or sclera, plays a decisive role in retinal damage. By means of various measurements of intraocular pressure we were able to prove that in non perforating trauma, the anterior segment, has a buffer function and protects the retina in case of corneal trauma from damage caused by contusion.