Eye Trauma
By aalrabiah on 10 Dec 2015
young male 25 years old , hit into his face with chair. lost his right eye vision.
diagnosis : Ocular globe rupture
clinical symptoms:
60% will have acuity better than 6/12
shallow anterior chamber
irregular pupil
colored spot of choroid visible on sclera
small subconjunctival haemorrhage
decreased intraocular pressure
cloudy lens due to exposure to air
Investigations:
CT : look for foreign body (FB)
Ultrasound of the eye
Plain radiography if above not available
Management :
Do not attempt to remove FB
Eye shield (not pad)
Anti-emetics (Ondanstron 4mg IV )
No topical antibiotics (especially ointment)
IV cephalothin and gentamicin
-15% incidence of endophthalmitis
tetanus prophylaxis
Eye Specialist Emergency Review
reference
Emergency Medicine Manual, 4th edition