Eye injuries

Question 1

Ocular alkali and acid burns

Eval?

Answer 1

Slit lamp exam

Measure IOP

Question 2

Ocular alkali and acid burns

Tx:

Answer 2

1st step: irrigate the eye with 1 to 2 L NS

• topical anesthetic
• Consult eye doc

Question 3

Chemosis

Answer 3

Swelling or edema of conjunctiva, usually caused by allergies

Question 4

Corneal abrasions Eti?

Answer 4

Contact lenses, fingernails, etc.

Question 5

Corneal abrasions s/s

Answer 5

Foreign body sensation
Photophobia
Tearing
May have conjunctival injection
Decrease visual acuity

Question 6

Corneal abrasions w/u

Answer 6

Visual acuity
Slit lamp eval, fluorescein
Seidel test

Question 7

Seidel Test

Answer 7

Using fluorescein dye to determine if there is a carneal laceration

Question 8

Corneal abrasions treatment

Answer 8

Organic source: erythromycin
Contact lense use: Cipro, ofloxacin

large abrasions or central to vision: checked by eye doc <24 hours
Small abrasions 48-72 hours

Question 9

Corneal laceration S/s

Answer 9

Full thickness lac: misshapen iris, hyphema, decreased visual acuity, shallow anterior chamber depth

Question 10

Corneal laceration w/u

Answer 10

Visual acuity

Positive seidel test

Question 11

Lacerations of eyelid: which should be repaired by eye doc?

Answer 11

• Lacs within 6-8mm of medial canthus
• Involving the lacrimal duct
• Inner surface of the lid
• w/ ptosis
• Involving tarsal plate or levator palpebrae

Question 12

Subconjunctival hemorrhage

Eti

Answer 12

Trauma, sudden increased venous pressure from valsalva maneuvers, HTN or spontaneous

Question 13

Subconjunctival hemorrhage s/s

Answer 13

Blood in conjunctiva,
Normal eye exam
Normal visual acuity

Question 14

Subconjunctival hemorrhage tx

Answer 14

No treatment needed. Reasurance, usually resolves in 2 weeks.
Coag studies if it happens a lot.

Question 15

Hyphema def

Answer 15

Blood or blood clots in the anterior chamber