# Knock Knock Eye: World Cup Eye Injuries: An Ophthalmologist's Field Guide

Page: https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256/knock-knock-eye-world-cup-eye-injuries-an-ophthalmologist-s-field-guide
Text version: https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256/knock-knock-eye-world-cup-eye-injuries-an-ophthalmologist-s-field-guide.md
Podcast: [Knock Knock, Hi! with the Glaucomfleckens](https://stenobird.com/podcast/knock-knock-hi-with-the-glaucomfleckens-5910256)
Published: 2026-07-02T09:00:00+00:00
Episode link: https://p.podderapp.com/9752035609/traffic.megaphone.fm/TCAHH9292577848.mp3
Audio file: https://p.podderapp.com/9752035609/traffic.megaphone.fm/TCAHH9292577848.mp3
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JSON: https://stenobird.com/v1/public/podcasts/knock-knock-hi-with-the-glaucomfleckens-5910256/episodes/knock-knock-eye-world-cup-eye-injuries-an-ophthalmologist-s-field-guide
Duration seconds: 1918

## Resource

I'm on call July 4th for the first time in what feels like forever, and I have fully lost perspective on what call should feel like. 2018 me, fresh out of an Iowa trauma center, would be horrified at how nervous private practice me has gotten about it. I'll report back after the holiday. Today's main event is World Cup eye injuries. Every professional sport needs an ophthalmologist on the sideline, soccer included, and I walk through three I'd be ready for. First, a 50 MPH ball off Erling Haaland the Viking's foot straight to the face, hyphema, open globe risk at the equator and limbus, retinal dialysis in young patients. Second, a player smashing their face on a goalpost, orbital floor fractures, the workup for extra-ocular muscle entrapment, and a full breakdown of eyelid laceration repair: above brow, below brow, eyelid margin, and canalicular. Third, the soccer flop, where grass exposure can deliver a corneal abrasion or an allergic reaction, and the drops I reach for. I've got more on deck if the tournament keeps giving me material. Takeaways: A high-velocity soccer ball to the face can cause hyphema (sheared vessels in the anterior chamber), an open globe at one of the eye's two weak points (the equator behind the extra-ocular muscles and the limbus at the edge of the cornea), or a retinal dialysis, especially in younger patients Hyphema management is driven by eye pressure: normal pressure means strict couch-potato rest until the blood clears, because a second bleed is always worse than the first; very high pressure may require surgical evacuation A face-into-goalpost impact most commonly causes an orbital floor fracture; suspected extraocular muscle entrapment is a PANTS patient, the ophthalmologist comes in, the orbit gets scanned, and forced duction testing r…

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