Eye emergencies2

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Eye emergencies2

  1. 1. Eye Emergencies Fatima College of Medicine
  2. 2. EVALUATION • Acuteness of symptoms • Accurate history • Complete eye examination
  3. 3. Chemical Burns • Immediate intervention is warranted • Can cause corneal scarring • Could be acid or alkali • Tx. Copious irrigation with clean water, topical antibiotics, and corneal wound healing agents
  4. 4. Chemical Burn
  5. 5. CRAO • Central Retinal Artery Occlusion • Sudden painless loss of vision • Presents with pale background retina and a (cherry-red spot) on the macula • Blood supply: inner retina- by central retinal artery, outer retina- by choriocapillaries
  6. 6. CRAO • Caused by an embolus (usually from the carotid artery) • Management: brown bagging, lowering IOP with anti-glaucoma meds, paracentesis, ocular massage, streptokinase • referral to a cardiologist and a neurologist for having a risk factor for stroke and M.I.
  7. 7. Central Retinal Artery Occlusion
  8. 8. ACUTE GLAUCOMA • Blurring of vision, headache, nausea, iridescent vision • P.E.- hazy cornea, non-reactive pupil, tense eyeball, red eye • Tx. Anti-glaucoma drugs, laser iridectomy, trabeculoplasty
  9. 9. Angle Closure Glaucoma
  10. 10. Acute Angle Closure Glaucoma
  11. 11. Iridectomy
  12. 12. Laser Surgery
  13. 13. RUPTURED OR LACERATED GLOBE • Best left untouched until ophthalmologist arrives • Topical anesthetics, antibiotics and eye shield should be initialized • Dx. X- ray, CT scan, B-scan ultrasound • IOFB-intra ocular foreign body warrants a referral to a vitreo-retinal surgeon
  14. 14. Corneoscleral Laceration
  15. 15. Ruptured Globe
  16. 16. Penetrating Injury
  17. 17. ORBITAL TRAUMA • Results from a collision • Coup and contra-coup injury • May present with periorbital hematoma • Should rule-out a blow-out fracture • Dx. CT scan, X-ray
  18. 18. Eyelid Ecchymosis
  19. 19. Orbital Floor Fracture
  20. 20. Conjunctival Hemorrhage
  21. 21. LID LACERATION • Repaired by an ophthalmologist or an oculoplastic surgeon • Reapposition of anatomic detailed anatomic structures are important for normal functioning • Avoid aggressive suturing • Tx. Surgical repair, antibiotics, pain relievers, anti-tetanus
  22. 22. Canalicular Laceration
  23. 23. Canalicular Repair
  24. 24. CORNEAL ABRASIONS/ FOREIGN BODIES • Eye pain and red eye • Dx. Biomicroscopy, fluorescein dye test • Tx. Removal of FB under slit lamp, Topical antibiotics, corneal wound healing agents, eye patch
  25. 25. Corneal Foreign Body
  26. 26. Thank You

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