Globe Proptosis

rDVM Quick Reference Guide for this Ophthalmic Emergency

  • Physical Examination
  • Stabilize Systemically
  • Irrigate/Lubricate Cornea + Globe
  • Evaluate for Corneal/Ocular Injury
  • Topical Antimicrobials
  • Systemic Analgesia
  • Systemic Anti-Inflammatories
  • Systemic Antimicrobials
  • E-Collar to Prevent Self-Trauma
  • Consider Referral for Surgical Repair

Proptosis of the globe typically occurs in brachycephalic breeds as a result of severe trauma to the head/neck. A thorough physical exam is essential and stabilization of more critical injuries should be a priority. The globe and corneal tissues should be cleansed and kept moist. The eye should be carefully evaluated for additional injuries. Treatment typically comprises topical and systemic antimicrobials, systemic anti-inflammatories, and systemic analgesia. Surgical globe repositioning and careful placement of a temporary tarsorrhaphy should be performed as soon as possible. Tarsorrhaphy sutures should remain in place for a minimum of two weeks and an Elizabethan collar should be used to prevent self-trauma.