Blunt and sharp injuries to the eye

Question 1

Ecchymosis =

Answer 1

Skin discolouration due to bleeding

Question 2

Hyphaema

Answer 2

Collection of blood in the anterior chamber

Question 3

What do you use to visualise the corneal surface more easily?

Answer 3

Fluroscien

Question 4

USS for what?

Answer 4

supra/subretinal haemorrhage

Question 5

What is used to reduce inflammation and prevent rebleeding?

Answer 5

Steroid and dilating drops (phenylephrine)

Question 6

How is a blackball hyphaema treated?

Answer 6

Surgical washout

Question 7

Traumatic iritis is?

Answer 7

Inflammation of the anterior chamber

Question 8

How does traumatic iritis present?

Answer 8

White cells and flare on slit lamp examination

Question 9

3 symptoms of traumatic iritis

Answer 9

pain, photophobia and blurred vision

Question 10

How is traumatic iritis treated

Answer 10

Steroid and mydriatic drops

Question 11

What is retrobulbar haemorrhage

Answer 11

Compartment syndrome within the orbit

Question 12

4 symptoms of retrobulbar haemorrhage

Answer 12

Pain
Proptosis
Decreased vision
Poor pupil reactions

Question 13

How is a retrobulbar haemorrhage treated

Answer 13

Emergency lateral canthotomy and cantholysis

Question 14

How may an orbital floor fracture present?

Answer 14

Diplopia and limited eye movements

Question 15

When is an urgency orbital floor repair indicated?

Answer 15

Painful restriction of upward gaze

Question 16

When is a non urgent orbital floor repair indicated?

Answer 16

Persistent restricted eye movement / enophthalmos after one week