ocular trauma

Question 1

clinical presentation of eofb

Answer 1

painful red eye
watery eye
fb sensation

Question 2

complication of blunt injury to the eye

Answer 2

1. laceration and lid contusion
2. subconjunctival hemorrhage
3. secondary glaucoma
4. traumatic iridocyclitis
5. hyphaemia
6. laceration of the lens
7. retinal detachment
8. vitreous hemorrhage
9. rupture of the base of the orbit(blow out fracture)
10. optic nerve (rare)
11. corneal or scleral laceration

Question 3

what is hyphemia

Answer 3

blood in the anterior chamber with fluid level

Question 4

one important rule in management of eyelid laceration

Answer 4

do not cut any tissue even if they look necrotic

Question 5

give 5 non traumatic ocular emergencies

Answer 5

1. acute angle closure glaucoma
2. corneal infections
3. endophthalmitis(post op)
4. retinal detachment (regmatogenous type)
5. severe purulent conjunctivitis

Question 6

what is hypopium

Answer 6

collection of pus in the anterior chamber

Question 7

complication of corneal infections

Answer 7

1. endophthalmitis
2. corneal perforation
3. phthisis bulbi

Question 8

what is phthisis bulbi

Answer 8

it refers to shrunken disrganised non functioning eyeball

Question 9

what is opthalmia neonatorium?

Answer 9

it is severe bacterial infection of the eyes of infants within the first four weeks postnatal

Question 10

common infections responsible for ophthalmia neonatorium

Answer 10

neisseria gonorrhea
staphylococcus
chlamydia sp.

Question 11

management of ophthalmia neonatorium

Answer 11

1. intensive irrigation with n/s or any bland liquid
2. intensive topical antibiotic
   a. 1 drop every 5min in the first hour
   b. 1 drop every 15min in the next hour
   c. 1 drop every hour
   d. review patient and treatment the ff day
   e. usually require admission
   f. systemic antibiotic are usuallly not given, unless ass with urti.