HEENT MDT

Question 1

What are the Essentials of Dx for a Corneal Abrasion?

Answer 1

• Severe Pain
• Tearing
• Photophobia
• Hx of trauma to the Eye (fingernail, contact lens)

Question 2

What are some physical findings of Corneal Abrasion?

Answer 2

• Change in Visual Acuity
• Fluorescent staining reveals a deeper green area at the abrasion than surrounding cornea.
• Photophobia and incr Lacrimation @ exam

Question 3

What image tool should you use for Corneal Abrasion?

Answer 3

Slit Lamp

Question 4

Tx for Corneal Abrasion

Answer 4

* Cyclopentolate 1% - one Drop now, Repeat 6-8hrs Prn
(Drop will burn for 10-15 sec)
* Erythromycin Ophthalmic Ointment QID
or
* Tobramycin Ointment QID

Question 5

Dispo and Complication for Corneal Abrasion

Answer 5

Retain onboard

- Corneal ulcer, loss of vision

Question 6

What is a topical anesthetic that you can use to facilitate exam if Pt is in pain or it is necessary to touch the cornea or conjunctiva?

Answer 6

Proparacaine 0.5%

Tetracaine 0.5%

Question 7

How do you administer a fluorescent strip?

Answer 7

• Moistened with 1 drop of sterile saline or topical anesthetic
• PT turns eye upward and touch it to the inside of lower lid
• Have PT blink several times and examine under Cobalt BLUE illumination