Minor brow and lid lacerations may be associated with scleral and retinal perforations, even when the lacerations are apparently remote from the globe. Reports of three cases in children have been used to illustrate that the classical signs of scleral perforation need not always be present. This appears especially true of injuries caused by narrow, sharp objects such as darts, scissors, and knives. The necessity of suspecting perforating injuries to the globe cannot be over emphasized. A method for diagnosing and treating such injuries has been presented.
Goldberg MF, Tessler HH. Occult Intraocular Perforations From Brow and Lid Lacerations. Arch Ophthalmol. 1971;86(2):145–149. doi:10.1001/archopht.1971.01000010147006
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