Eye Emergencies Pt.1

Question 1

cause of rust spot in eyes?

Answer 1

grinding metal without eye protection

Question 2

what else gives foreign body sensation? 5 things

Answer 2

allergy
scratch on cornea
dirt/dust
flash burn: burst of UV light, burns off epithelium quickly
dry eye

Question 3

who gets chronic dry eye?

Answer 3

post-menopausal women, decreased tear protection

Question 4

chloramphenicol drops are?

Answer 4

soothes

Question 5

how to give eye drops

Answer 5

drop into closed eyes in the medial/nasal, then blink

Question 6

where do most injuries come from? industry? violence? home?

Answer 6

home.

Question 7

tarsal wrt the eye means?

Answer 7

eye lid

Question 8

how to evaluate a foreign body in eye?

Answer 8

anaesthetic
check acuity
plan and refer for surgery

Question 9

3 things to exclude in the ‘black eye’

Answer 9

globe injury
orbital fracture
lid injury

Question 10

important signs of a globe rupture/penetrating injury

Answer 10

deflated globe
irregular pupil
shallow anterior chamber
haemorrhagic chemosis
no red reflex

Question 11

what is chemosis wrt eye?

Answer 11

conjunctivae swelling

Question 12

no red reflex means?

Answer 12

blood or something in the way of the retina

Question 13

what causes irregular pupil?

Answer 13

slit in cornea and the fluid rushes out and pulls iris with it

Question 14

manage hyphaema? and cause?

Answer 14

cause: tennis, squash ball, fist

no aspirin
conservatively

Question 15

posterior segment examination looking for 3 things

Answer 15

cataracts
vitreous haemorrhage
retinal detachment

Question 16

First thing to do when someone comes to you with eye trauma?

Answer 16

Check visual acuity with Snellen