Eye Eval Flashcards
eyelid laceration
S/S: direct trauma, bleeding on eyelid
Tx: refer for stitches
periorbital contusion
S/S: trauma to eye, swelling, bruising, black eye
Tx: no referral unless coincides with underlying conditions
dislocated contact lens
S/S: blurred vision, “something in my eye”
Tx: remove lens, refer to optometrist if unable to remove
Retinal tear or detachment
S/S: from illness, injury or heredity, result of aging, near sightedness, recent eye surgery, history of retinal tears
Tx: refer to ophthalmologist or surgeon
orbital fracture
S/S: orbital bones displaced or asymmetrical
Tx: refer immediately to ER
corneal or conjunctival foreign bodies
S/S: object embedded or adhering to eyeball, “something in my eye”, “scratchiness”
Tx: try to remove object if comfortable, refer to optometrist if not easily removable
corneal or scleral lacerations
S/S: eyeball ruptured from trauma, leakage of fluid, extrusion of tissues
Tx: immediate referral to ophthalmologist
subconjunctival hemorrhage
S/S: bruising under the bottom of eye lid, and over white part of the eye
Tx: advise pt. that condition is benign and should heal on its own, pt. may use eye drops in needed and to avoid irritants
hyphema
S/S: blood in front of eye, blunt trauma, possible irregular pupil shape
Tx: refer to ophthalmologist, keep head elevated
conjunctivitis
S/S: pink eye, inflammation of lower eye lid (hazy= viral or allergic) (white=bacterial), redness
Tx: refer to optometrist
corneal abrasions
S/S: “something in my eye”, altered vision, tearing, photophobia, blinking, visual inspection with dye
Tx: refer to ophthalmologist
vital signs for eye
HR, RR, BP, Temp, O2 sat.
inspection for eye eval
discoloration around or in eye, pupil shape, blood in or around eye, inflammation of surrounding tissues, orbital symmetry, contact lenses, ophthalmoloscope (optic disc, fovea, macula)
