Assessment of eye in polytrauma Eye trauma for Dentists Blow out fracture ophthalmology for dental students

1. Eye assessment
in Poly trauma
Mohamed ELShafie
Lecturer of ophthalmology

2. Blunt trauma

4. Take a step back
and
Assess the whole patient

5. ALWAYS BE
SUSPICIOUS OF
UNDIAGNOSED
INJURY TO OTHER
ORGAN SYSTEMS.

6. Transfer immediately to ER if:
• unstable vital signs
• impaired mental status
• serious nonocular injuries

9. • driving a motor vehicle
• age < 50 years
• male sex
• associated basal skull fracture
• orbital fracture
• lid laceration or superficial eye injury.

10. self-limiting condition.
1ST
Periocular
haematoma

11. Lid Laceration
2nd
careful exploration of
the wound.

12. Lacrimal Duct Laceration
• Repair ASAP
• Probing with silicon
tube and suturing

13. Self limiting
Sub conjunctival
hemorrhage
3rd

14. Removal under
slit lamp
Foreign body
4TH

15. Healing 1-4 days
5TH
Corneal
Abrasion

16. Treatment:
irrigation, irrigation,
irrigation
Chemical Burn
6TH
Alkali burns more severe as it penetrates more
deeply into the ocular tissues
acids (ammonia and sodium hydroxide)
coagulate proteins, forming a protective barrier.

17. Repair
Corneal perforation
7th

18. Complications:
elevation of IOP
and re-bleeding
Hyphema
8TH

21. Orbital Wall Fracture

22. Blow-out fracture
Restricted elevation
Mild enophthalmos
blow-out fracture of orbital floor Subcutaneous emphysema

23. • CT is the imaging of choice

26. Thank you !!