Thirty-four patients had direct and/or indirect rupture of the globe. The commonest site of indirect rupture was the nasal-superior quadrant close to the limbus. The typical clinical presentation was of a chemotic, hypotonous, left eye with a total hyphema; ductions were reduced most in the quadrant of the rupture. Global rupture and blowout fracture were seldom found to occur together. Surgical intervention was always undertaken but produced good visual results in only two of the 34 cases. In both of these cases, primary surgical closure was performed and diathermy was used at the wound edges after suturing.
Cherry PMH. Rupture of the Globe. Arch Ophthalmol. 1972;88(5):498-507. doi:10.1001/archopht.1972.01000030500006