Ocular trauma Flashcards
1
Q
what is a hyphema?
A
blood in the anterior chamber of the eye
2
Q
assessment
A
r/o orbital compartment syndrome
3
Q
features of orbital compartment syndrome
A
eye pain/swelling
proptosis
‘rock hard’ eyelids
relevant afferent pupillary defect
4
Q
Mx of orbital compartment syndrome
A
urgent lateral canthotomy (before diagnostic imaging) to decompress the orbit
5
Q
concern regarding eye trauma
A
raised IOP - due to blockage of ankle and trabecular meshwork with erythrocytes
6
Q
mx hyphema
A
Strict bed rest is required as excessive movement can redisperse blood that had previously settled; therefore high-risk cases are often admitted.
Even isolated hyphema will require daily ophthalmic review and pressure checks initially as an outpatient.
