Ocular Emergencies

Question 1

• Severe pain, FB sensation, tearing, photophobia

- Erythromycin opth ointment; no long term analgesic drops

Answer 1

Corneal abrasion

Question 2

• > 50yrs, HA, jaw claudication, polymyalgia, vision abnormalities, high ESR
• Prednisone

Answer 2

Temporal Arteritis

Question 3

• Sudden unilateral loss of vision which returns after a few minutes
• 2/2 ischemia

Answer 3

Amaurosis fugax

Question 4

Irregular, displaced pupil, hyphema (blood in anterior chamber of eye)

Answer 4

Ocular trauma/rupture

Question 5

Dull aching pain, photophobia, tearing w/in 3 days of trauma

Answer 5

Traumatic iritis

Question 6

Pain, diploplia with vertical eye mov’t, eyelid swelling, crepitus, V2 parathesia

Answer 6

Orbital fx

Question 7

Fever, ptosis, restricted EOM, swelling with redness in lid

-Infx of paranasal sinuses (s. pneumo, H. flu)

Answer 7

Orbital palsy