Ocular Trauma Flashcards Preview

Opthamology > Ocular Trauma > Flashcards

Flashcards in Ocular Trauma Deck (16):
1

What parts of the eye should be examined?

Lids
Conjunctiva
Cornea
Anterior segment
Pupils
Fundus

2

What drops help identify epithelial loss?

Fluorescein drops
Fluorescein sodium 1%

3

How should you handle a suspected globe rupture?

With care

4

What is Hyphaema?

Blood in the anterior chamber

5

What is sympathetic ophthalmia?

Penetrating injury of one eye causing inflammation of both
May lead to bilateral blindness

6

What categories can foreign bodies in they eye come under?

Sub-tarsal
Conjunctival
Corneal
Intra-ocular
Intra-orbital

7

Can the ethmoid air cells help bolster the wall?

Yes

8

What should check with in an orbital blow out?

The infra-orbital neurovascular bundle

9

What leads to higher levels of suspicion with regards to penetrating foreign body?

Pupil irregular
Anterior Chamber shallow
Localised cataract gross inflammation

10

What should you always do with intra-ocular foreign bodies?

X-ray it

11

Describe an alkali burn in the eye

easy, rapid penetration
cicatrising changes to conjunctiva and cornea
Penetrates the intra-ocular structures

12

Describe an acid burn to the eye

Coagulates proteins woth little penetration

13

What should you check with a chemical injury to the eye?

quick history
check toxbase if possible
check pH
irrigate +++ min of 2l saline or until pH is normal
Assess at slit lamp

14

What is the solution to pollution?

Dilution

15

What should you always record?

Ocular acuity

16

What should you always check if the patient has been bit?

Check vaccines e.g. tetanus