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All Journal Journal of Applied Health Management and Technology
Gede Ngurah Bagus Wirawibawa Sembah
Bali Mandara Eye Hospital Denpasar Indonesia
Health Professions

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CONSERVATIVE MANAGEMENT OF PARTIAL THICKNESS CORNEAL LACERATION FOLLOWING BLUNT OCULAR TRAUMA FROM A WOODEN BRANCH: A CASE REPORT Gede Ngurah Bagus Wirawibawa Sembah; I Wayan Rio Indranatha; Ni Made Ayu Wulandari
Journal of Applied Health Management and Technology Vol. 8 No. 2 (2026): October 2026
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v8i2.15362

Abstract

Partial thickness corneal laceration arising from blunt ocular trauma represents a clinically significant ophthalmic emergency requiring precise diagnostic evaluation to guide the decision between conservative and operative management. This descriptive case report presents a male patient who sustained acute left eye injury when a rebounding wooden branch struck his eye during domestic wood-cutting activity. Comprehensive ophthalmic evaluation included slit-lamp biomicroscopy,Seidel fluorescein testing under cobalt-blue illumination, non-contact tonometry, and B-scan ultrasonography for posterior segment assessment. A 2 cm horizontal corneal laceration with ciliary vascular injection was identified in the left eye. A negative Seidel test result, combined with a normal intraocular pressure of 17 mmHg, confirmed globe integrity, excluding full-thickness corneal perforation. Posterior segment B-scan evaluation revealed no retinal detachment, vitreous hemorrhage, choroidal detachment, or intraocular foreign body. The patient was managed conservatively with a bandage contact lens, topical levofloxacin 0.5%, topical prednisolone 1%, cycloplegic drops (tropicamide 1%), ocular lubricants, oral ciprofloxacin, and intramuscular tetanus immunoglobulin. Satisfactory corneal wound healing and marked symptomatic improvement were documented at the three-day follow-up appointment. This case demonstrates that systematic use of the Seidel test and B-scan ultrasonography, combined with bandage contact lens therapy and targeted pharmacological support, produces favorable early clinical outcomes in partial thickness corneal laceration from wooden branch trauma.
Co-Authors I Wayan Rio Indranatha ni made ayu wulandari