10. • Must assess the damage to eye and nasolacrimal
system.
Intervention
- Apply cold pack to eye lid
- Wound irrigation
- Suturing may be required if lacrimal duct is involved.
11. • PATIENT EDUCATION
-Keep the head end elevated.
-apply antibiotic ointments as required.
-follow up with ophthalmologist.
14. • Hyphema
– Blood in the anterior chamber of the eye occurs in
association with blunt or penetrating trauma
• SIGNS AND SYMPTOMS
-visible blood collection
-blurred vision
-pain
-photophobia
-increased IOP
15. Treatment:
• Place the patient upright to allow inferior
settling of blood
• Dilate the pupil with atropine
• Measure intraocular pressure – if > 30 mmHg
apply topical Timolol
• Avoid aspirin/ NSAIDS
• Patch the affected eye with a right eye shield
• Analgesics
16. EXTRA OCULAR FOREIGN BODIES
• Common foreign bodies are lashes, dirt sand,
environmental debris, metals, glasses and
wounds
17.
18. • Signs and symptoms
-reddened conjunctiva
-tearing
-photophobia
-pain
-foreign body sensation
21. • Intra ocular foreign bodies usually caused by
small objects that penetrates to the eye ball at
high speed and comes to rest some where
with in the posterior chambour
22. • DIAGNOSIS
- radiographs of the eye
-slit lamp examination
-CT scan
-USG
• INTERVENTIONS
-Antibiotics
-surgery
23. CONJUNCTIVAL AND CORNEAL
LACERATION
• Signs and symptoms
-photophobia
-tearing
-impaired vision
-pain
• Diagnosis
-visual acuity test
-slit lamp examination
-stain the eye with fluorescein dye then
evaluate with cobalt light
24.
25. • Treatment
-place a rigid shield over the eye
-analgesics and antibiotics
-ophthalmology consultation
26. CORNEAL ABRASION
• It occurs when foreign bodies such as contact
lens or finger nail scrapes the epithelium of
the eye.
• Signs and symptoms
Tearing
Photophobia
reddened eye
severe pain
27. • Diagnosis
– Fluorescein: dye uptake at defect site
– Rule out foreign body
• Treatment
-topical/oral analgesia
30. • CHEMICALS (acids/alkalies)
• RADIENT ENERGY (thermal/UV/IR)
Signs and symptoms
- Pain
- Photophobia
- Tearing
- Blurred vision
- Foreign body sensation
- Eye lid edema
31. • TREATMENT
-visual acuity test after irrigation
-topical analgesics
- eye irrigation
-maintain PH
-antibiotics
-inj. TT
32. THERMAL BURNS
• Results from cigarettes, steam, hot liquids, fire
curling irons and molten metal
• Treatment
- Topical analgesia
- Removal of debris
- Antibiotics
- Lubricate the eye and apply a cool, sterile saline
compression if the lid is burned.
- Vaccinate with Inj. TT
33. RADIATION BURNS
• Common types are
-ULTRA VIOLET BURNS
-INFRA RED BURNS
Signs and symptoms
• Pain
• Foreign body sensation
• Blurred vision
• Photophobia
• tearing
46. • It is the separation of sensory retina and the
underlying pigment epithelium.
• CAUSES
- shrinkage/ contraction of vitreous fluid
- Injury
- Advanced DM
- Inflammatory eye disorders
47. Clinical features
• Photophobia
• Ring in the field of vision
• Central/peripheral loss of vision
Diagnosis
• History
• Physical examination
• Fundus photography/ ophthalmoscopy
• ultrasound
54. CLINICAL FEATURES
• Primary open angle glaucoma
- no pain and vision loss in initial stages
- if untreated leads to tunnel vision
• Primary angle closure glaucoma
-sudden pain in/around the eye
-colored haloes around the light
-nausea and vomiting
-ocular redness
-elevated IOP
-corneal edema
