Scleral lacerations are traumatic injuries to the eye and should be considered ophthalmic emergencies as improper treatment can lead to permanent visual loss. On presentation, the patient will have a history of ocular trauma, significant pain, associated photophobia, and blepharospasm. The scleral laceration may cause hemorrhage into the vitreous cavity or extend into the anterior segment causing additional damage such as hyphema or uveal prolapse reducing vision.

With scleral lacerations, there is often associated facial and/or orbital trauma. The patient must be stabilized prior to examination of the eye. Visual acuity must be documented. If a scleral laceration is suspected, a careful and gentle slit lamp exam by an eye care professional is mandatory. The depth and extent of the laceration is essential to measure.