Ocular Trauma Flashcards
What parts of the eye should be examined?
Lids Conjunctiva Cornea Anterior segment Pupils Fundus
What drops help identify epithelial loss?
Fluorescein drops
Fluorescein sodium 1%
How should you handle a suspected globe rupture?
With care
What is Hyphaema?
Blood in the anterior chamber
What is sympathetic ophthalmia?
Penetrating injury of one eye causing inflammation of both
May lead to bilateral blindness
What categories can foreign bodies in they eye come under?
Sub-tarsal Conjunctival Corneal Intra-ocular Intra-orbital
Can the ethmoid air cells help bolster the wall?
Yes
What should check with in an orbital blow out?
The infra-orbital neurovascular bundle
What leads to higher levels of suspicion with regards to penetrating foreign body?
Pupil irregular
Anterior Chamber shallow
Localised cataract gross inflammation
What should you always do with intra-ocular foreign bodies?
X-ray it
Describe an alkali burn in the eye
easy, rapid penetration
cicatrising changes to conjunctiva and cornea
Penetrates the intra-ocular structures
Describe an acid burn to the eye
Coagulates proteins woth little penetration
What should you check with a chemical injury to the eye?
quick history check toxbase if possible check pH irrigate +++ min of 2l saline or until pH is normal Assess at slit lamp
What is the solution to pollution?
Dilution
What should you always record?
Ocular acuity
