CONJUNCTIVAL ABRASION, LACERATION, FOREIGN BODY

Question 1

Clinical Features

Answer 1

Scratchy foreign body sensation
Mild Pain
Tearing
+/- Photophobia

Mild conjunctival injection

Question 2

When is vision affected?

Answer 2

Only if full thickness conjunctival laceration with globe penetration

Question 3

Special Test to perform

Answer 3

Eyelid eversion
Seidel test to rule out globe perforation

Question 4

Management

Answer 4

Remove foreign body

Erythromycin 0.5% Ointment
Apply 1 cm ribbon to affected eye qid
2 - 3 days

Refer to Optho if suspected globe laceration