Ocular Trauma
Physical exam is queen in blunt ocular trauma - Anna MacDonald
image by: JeffUK
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Ocular Trauma: A Quick, Illustrated Guide to Treatment, Triage, and Medicolegal Implications
Optimizing visual outcomes in patients sustaining traumatic ocular injuries requires prompt diagnosis and treatment. Immediate and appropriate intervention in vision-threatening emergencies has the capacity to reduce long-term loss of visual acuity and dramatically affect post-injury quality of life.
Mechanisms of eye injury are changing, with recent data reporting a significant incidence of ocular trauma from motor vehicle accidents (MVAs), specifically, from air-bag deployment, assaults, falls, and from sports-related activities. The majority of these injuries are sustained by young men.
Resources
Assessment and Management of Ocular Trauma
In the ER, order CT scan of the orbits with fine cuts (1-2mm) and true coronals, this is particularly important for IOFB.
Eye Trauma
Eye traumas can be divided into three groups: globe injuries, periorbital injuries, and chemical injuries.
An Evidence-Based Approach To Traumatic Ocular Emergencies
The evaluation of blunt and penetrating injuries to the orbit represents a challenge to the practicing ED clinician.
Approach to Ocular Trauma
This article describes the pertinent information that should be gathered during a focused ocular history in a patient with ocular injury, and also provides a systematic approach to evaluating ocular trauma.
Basics of eye trauma with emergency pathologies
This article is the first of two articles about traumatic eye injuries. This article covers the relevant anatomy, history, examination and emergency sight-threatening pathologies to enable you to refer to ophthalmology specialists.
Blunt Ocular Trauma Live from The EM Cases Course
While our minds seem to go first to orbital fractures in patients with blunt ocular trauma, our primary considerations should be the truly vision threatening emergency diagnoses: Retrobulbar hematoma with orbital compartment syndrome, Hyphema, Retinal detachment and Globe rupture.
Blunt Trauma to the Eye
Transient traumatic mydriasis or miosis may last for days after blunt eye trauma.
Common Eye Trauma
This article is the second of two articles about traumatic eye injuries. The first is called Basics of Eye Trauma with Emergency Pathologies and covers the relevant anatomy, history, examination and emergency sight-threatening pathologies. The pathologies discussed in this article are important to identify but are less of an emergency.
CRACKCast E071 – Ophthalmology Part B
This episode of CRACKCast covers Rosen’s Chapter 71, Ophthalmology. Part B of this episode covers ocular trauma, including indications for ophthalmology consult and surgical repair.
EM in 5: Ocular Trauma
Teardrop pupil: Open globe injury (treat with antibiotics, eye protection, ophthalmology consultation, tetanus vaccine, treat pain and nausea).
Emergency Department Evaluation of Blunt Orbital Trauma
Blunt ocular trauma presents a number of pathological entities that can have a profound and permanent effect on the patient's vision. Appropriate, logical, and systematic examination with proper first aid and timely consultation can reduce morbidity and provide for optimum recovery and outcomes.
Episode 51 – Ocular Trauma
We delve into core content on eye trauma using Rosen’s (8th edition) Chapter 71 and Chapter 241 in Tintinalli (8th edition).
Keep an eye out
“Less than Lethal” impacts can still lead to significant morbidity.
Ocular Injuries in the Great Outdoors
Eye injuries can be severe and quite painful. They are even worse when you can not get medical attention due to being in a remote area of the world and may even prove life threatening in such an situation
Podcast #145: Eye Injuries
This patient has Iridodialysis: localized separation or tearing away from the iris from the ciliary body.
POTD: Trauma Tuesday - Eye trauma review
Physical exam is key!!!
Trauma: Ruptures and Bleeding
Blunt ocular trauma can cause a number of corneal complications. Minor ocular trauma results in corneal abrasion and avulsion of corneal epithelium. Mild cases can be treated with topical antibiotic ointment and observation for resolution.
Traumatic Ocular Injuries
Several differential diagnoses to consider: Globe Rupture (Open Globe), Hyphema, Retrobulbar hematoma, Retinal detachment, Corneal abrasion/ulceration.
Ocular Trauma: A Quick, Illustrated Guide to Treatment, Triage, and Medicolegal Implications
The spectrum of ocular trauma ranges from simple corneal abrasions to orbital fracture and ruptured globe. As might be expected, even injuries that are classified as "minor" can cause considerable morbidity to the patient.
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