Post Seg Trauma

Question 1

Blunt Ocular Trauma causes…..

Answer 1

vitreous hemorrhage
commotio retinae
retinal break/ detachment
choroidal rupture

Question 2

Globe Rupture

Answer 2

full thickness wound

suspected when AC depth deeper and IOP lower (5+) than other eye

Question 3

Tx of Globe Rupture

Answer 3

surgery

Question 4

Dx Globe Rupture

Answer 4

imaging- ultrasound, CT, MRI

Question 5

Traumatic Vitreous Hemorrhage

Answer 5

often has PVD
pigment cells in ant vitreous
ultrasound to rule out RD

Question 6

Tx for Traumatic Vitreous Hemorrhage

Answer 6

clear over weeks - months

vitrectomy if does not clear

Question 7

Commotio Retinae

Answer 7

retinal whitening following blunt ocular trauma
opacification from retinal edema
eventually resolves

Question 8

Symptoms of Commotio Retinae

Answer 8

asymptomatic

permanent vision loss from pigmentary degeneration or macular hole

Question 9

Signs of Commotio Retinae

Answer 9

clouding of retina

cherry red macula

Question 10

Choroidal Rupture

Answer 10

split in choroid/ Bruch’s/ RPE

appears as streak of bare sclera, often obscured by subretinal hemorrhage

Question 11

Retinal Dialysis

Answer 11

tearing of retina at ora serrata

Question 12

Tramatic Macular Hole

Answer 12

at time of injury or following resolution of commotio retinae
irregular borders

Question 13

Breaks caused by trauma

Answer 13

retinal dialysis
equatorial break
traumatic macular hole

Question 14

Secondary Problems to Penetrating Trauma

Answer 14

RD
infection
FB damage

Question 15

Mx Penetrating Trauma

Answer 15

cover eye with protective shield and schedule surgery

Question 16

Foreign Body Damage

Answer 16

direct mechanical damage
introducing infection
toxic effects from metals

Question 17

Siderosis

Answer 17

deposits of iron in retina leading to degenerative retinopathy

Question 18

Copper Foreign Body Damage

Answer 18

causes severe endophthalmitis reaction

Question 19

Chalcosis

Answer 19

from brass/ bronze
deposits copper intraocularly with no retinopathy
vision preserved

Question 20

Valsalva Retinopathy

Answer 20

capillary rupture from acute increase of intrathoracic or intra-abdominal pressure

Question 21

Causes of Valsalva Retinopathy

Answer 21

coughing, vomiting, straining, shitting

Question 22

Shaken Baby Syndrome

Answer 22

secondary to child abuse
bilateral hemorrhages involving multiple retinal layers
poor visual and pupil responses
lethargy and vomiting

Question 23

Terson’s Syndrome

Answer 23

intraocular hemorrhage associated with acute intracranial bleeding
sudden increase in ICP ruptures capillaries around ON
presents with extreme headache or previous stroke

Question 24

Purtscher’s Retinopathy

Answer 24

Intraretinal hemorrhages and patches of retinal whitening from compressive trauma
severe vision loss within days of crushing injury to chest or head