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Flashcards in Trauma Deck (16)
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1

What is an emergency

Chemical ocular injury

2

What is worse acid or alkali

Alkali as penetrates cornea fast to damage intraocular contents

3

What does damage depend on

Chemical
Duration
First aid given

4

What do you do

Immediate copious irrigation with saline
Topical anaeshtesia
Urgent referral

5

What do you do when stable

Topical Ax
Lubricant
Steroid
Cycloplegic
Vitamin C may aid healing process

6

What do you do if blunt trauma to eye

Ophthalmology referral
Bed rest
Head elevation
Analgesia
Topical steroid
Topical cycloplegia
IOP lowering if needed

7

What is risk

Risk of rebelled in 3-5 days in 30%

8

What can penetrating trauma cause

Corneal or sclera laceration
Severe haemorrhage
Irregular pupil
Extrusion of intraocular content
Limited movement
Cataract
Retinal detachment

9

How do you investigat e

X-ray / CT orbit
Immediate referral

10

How do you treat

Stop examination
Eye shield
No eyedrops or ointment
Tetanus prophylaxis
Systemic Ax
NBM

11

What do you do for FB

Remove using cotton body
Topical Ax - chlorophenicol
Refer if can't remove

12

What can blunt trauma present with

Subconjunctival haemorrhage
Hyphaema - pooling of blood in anterior chamber
Iris sphincter rupture
Cataract
Vitreous haemorrhage

13

What is commonly used in trauma

USS

14

What is Hyphaemia

Pooling of blood in anterior chamber due to rupture of iris blood vessel

15

What causes

Blunt trauma
Ocular surgery
Abnormal vessel growth

16

How od you Rx

Majority resolve
May need drainage to prevent glaucoma as will raised IOP