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Ophthalmological Emergencies Bromley A&E Department Perspective Dr J du Plessis

History ,[object Object],RP Glycoma DM HPT TB

Examination ,[object Object],[object Object],[object Object],[object Object]

Special investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complaints ,[object Object],[object Object],[object Object],[object Object]

Vision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Retinal Tugging Retinal Tear Migraine Optic neuritis or Retinitis Neurological Lesions Muscular Lesions Mechanical Breaking down of old squint White VS Rainbow Poor Focus Cataract Dyslexia Stroke (visual field defect) Macular Degeneration

Sudden Loss of Vision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Unilateral Sudden Loss of Vision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Discomfort / Pain ,[object Object],[object Object]

Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Painful Red Eye ,[object Object]

Conjunctivitis Episcleritis Iritis

Pain Without an Eye Cause ,[object Object],[object Object],[object Object],[object Object],[object Object],} Eye examination normal.(Don’t forget posterior eye scleritis can have a normal eye examination)

Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Blunt Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vitreous Haemorrhage Retinal Detachment Damage to angle and risk of consequent glycoma Dislocated Lens Traumatic Injuries

[object Object],[object Object],[object Object],[object Object],[object Object],“ Blow out” Fracture

Penetrating Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object]

Eyelid Lacerations needing referral ,[object Object],[object Object],[object Object]

Foreign Bodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Foreign Bodies ,[object Object],[object Object],[object Object]

Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Flash Burns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guide to Referrals at Bromley ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guide to Referrals at Bromley ,[object Object],[object Object],[object Object]

Guide to Referrals at Bromley ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GP can Treat or Refer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dr J du Plessis Do Not Be Caught Out ! No injury to big to give up Or too small to ignore !

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