Trauma to the Eye

Whenever you are given a scenario with trauma to the eye, offer pain medications and then proceed to history.

1. Ask for mechanism of injury (Blunt/Penetrating)
2. Vision Problems
3. Palpate the orbit rim and maxillary sinus
4. Look for lacerations at medial canthus
5. Document Visual Acuity & Field of Vision
6. Eye Movements
7. Tetracaine & Fluoroscein Staining
8. Eversion of Eyelid to look for FB
9. Slit Lamp Examination
10. Look for corneal tear or lens displacement
11. Look at fundus for retinal hemorrhages
12. If penetrating injury, refer to ophthalmology, Get a CT Orbit
13. Tetanus prophylaxis
14. Steroids & Analgesic with Antibiotic drops
15. Admit the Kid and discharge the adults
16. Eye Patching does not help in Corneal tear.

HYPHEMA:

Collection of blood in Anterior Chamber

Visual Acuity must be documented

Topical Steroid

Spontaneous resolution in many cases

Chances of rebleed in 3 - 5 days

Ophthalmology Clinic Referral

Oral Analgesic