Ocular trauma

Question 1

hammering metal on metal causes what type of trauma?

Answer 1

intraocular foreign body

Question 2

grinding causes what type of trauma?

Answer 2

corneal foreign body

Question 3

welding causes what type of trauma?

Answer 3

corneal UV burn

Question 4

racquet sports causes what type of trauma?

Answer 4

hyphema

Question 5

fist fights causes what type of trauma?

Answer 5

hyphema, BOF, ruptured globe

Question 6

what agents are used for chemical burns following irrigation?

Answer 6

• topical cycloplegic agent
• topical abx
• pressure patch
• refer to ophtho

Question 7

a corneal abrasion in a contact lens wearer is usually a __________

Answer 7

corneal ulcer

Question 8

a white corneal infiltrate indicate a ________

Answer 8

corneal ulcer

Question 9

patches are NOT used in which situations?

Answer 9

• contact lens wearers
• dendritic or stellate epithelial defects
• poor historians

Question 10

why are topical anesthetics contraindicated in corneal abrasion?

Answer 10

corneal toxicity

Question 11

what is done for a foreign body that causes pooling of aqueous humor?

Answer 11

shield the eye

Question 12

what is the management for hyphema?

Answer 12

• assume globe is ruptured

- shield and refer

Question 13

what are the complications of hyphema?

Answer 13

• rebleeding into anterior chamber
• glaucoma
• other ocular injuries

Question 14

what are the surgical indications for orbital fracture?

Answer 14

• persistent diplopia

- poor cosmesis (enophthalmos)

Question 15

what is the main symptom of UV keratitis?

Answer 15

photophobia

Question 16

what is the treatment for UV keratitis?

Answer 16

• cycloplegics

- analgesics - topical

Question 17

a teardrop pupil and flat A/C indicates?

Answer 17

penetrating injury

Question 18

orbital hemorrhage is treated by a _________

Answer 18

lateral canthotomy