Eye Injury

From Anvita Health Wiki

Contents 1 Etiology 2 Clinical-manifestations 3 Differential-diagnosis 4 Management 5 More General Terms 6 Additional Terms 7 References

Etiology

• mechanical injury to globe
• chemical injury

Clinical-manifestations

• mechanical injury to globe

• cornea may be normal or damaged
• irregular or deviated pupil towards the direction of the injury
• hyphema
• red eye, conjunctival hemorrhage
• ocular pain
• vision may be normal or decreased

• chemical injury

• cornea may have minor epithelial damage or be opaque
• ocular pain
• blurred vision
• reflex blepharospasm
• photophobia
• foreign body sensation
• red eye, conjunctivitis

Differential-diagnosis

• orbital fracture

Management

• generally, depending upon severity, immediate referral to ophthalmology
• mechanical injury to globe

• leave imbedded foreign object in place
• avoid direct pressure on the orbit
• protect with eye shield
• tonometry is contraindicated

• chemical injury

• irrigate eye with normal saline or lactated Ringer's,

• 1-2 liters (minimum)
• continue eye wash enroute to emergency department

• immediate referral to ophthalmology

More General Terms

• eye disease (ophthalmopathy)
• trauma

Additional Terms

• orbital fracture (blowout fracture)

References

1. Medical Knowledge Self Assessment Program (MKSAP) 15, American College of Physicians, Philadelphia 2009
2. National Guideline Clearinghouse Eye. (Work Loss Data Institute) ngc-guideline: [1]

eye injury/trauma