1 / 17

Eye Injury Assessment

Eye Injury Assessment. Chapter 16, p. 567. Clinical Anatomy-- p.567. Bony anatomy orbital frontal bone zygomatic bone The Eye globe conjunctiva cornea lens retina. Clinical Anatomy-- p.570. Muscular anatomy--fig. 16-4 rectus group oblique group. Visual Acuity-- p. 570.

ostinmannual
Download Presentation

Eye Injury Assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Eye Injury Assessment Chapter 16, p. 567

  2. Clinical Anatomy--p.567 • Bony anatomy • orbital • frontal bone • zygomatic bone • The Eye • globe • conjunctiva • cornea • lens • retina

  3. Clinical Anatomy--p.570 • Muscular anatomy--fig. 16-4 • rectus group • oblique group

  4. Visual Acuity--p. 570 • Snellen chart • Acuity: • Emmetropia--20/20 • Myopia--near-sighted • Hypermetropia--far-sighted • Diplopia

  5. Injury Assessment: History--p.570 • Location of pain (globe, lid, etc) • Injury Mechanism (laceration, trauma, irritant) • Foreign objects(?)--sand, fingers, sweat, etc. • Prior visual records • corrected/uncorrected vision?

  6. Injury Assessment: Observation--p.572 • Nystagmus • Deformity-- • bony or soft tissue derangement • periorbital discoloration--orbital hematoma (Black Eye) • Symmetry--globe placement (pupils)

  7. Observation-- • eyelids p.572 • signs of infection: • stye • chalazion • symmetry (resting and active) • cornea-- • discoloration • hyphema--p.573

  8. Observation--p.573 • conjunctiva-- • conjunctivitis (pinkeye) • subconjunctival hemorrhage(p574-fig.16-9) • pupil-- • symmetry (anisocoria) • size & placement • shape (round) • reaction (PEARL)

  9. Pathologies- • Blow-out fracture • Corneal abrasion • Iritis • Detached retina • Conjunctivitis • Foreign Bodies

  10. Blow-out fracture-p.576 • Table-16-5, p.578 • Observation • orbital lacerations? • dec. ROM possible • periorbital edema & ecchymosis • Palpation/Examination • periorbital tenderness • neuro. Sensory eval.

  11. Hyphema--p.573 • Sign of internal damage to globe • Blood pooling in anterior chamber of eye • acute or delayed • Refer to physician immediately

  12. Corneal abrasion--p.577 • Table 16-3, p. 578 • acute onset--intense pain • no obvious abrasion although redness possible • possible photophobia • fluorescein strips for testing • blurred vision possible 2° injury or tears/watering

  13. Iritis--p.579 • Table 16-7, p. 580 • Acute traumatic onset • photophobia common • sluggish pupil • anisocoria possible

  14. Detached retina--p.579 • Trauma/jarring to the head • c/o “curtain” effect • visual field narrows • reports flashes, blind spots, or halos

  15. Conjunctivitis--p. 580 • Table 16-9, p. 581 • “pinkeye”;infection • acute onset • redness, lid edema • vision disturbances • HIGHLY contagious • Do NOT allow contact lenses • refer to physician

  16. Foreign Bodies--p.580 • Troublesome, but easily treated • proper treatment avoids abrasions, impalement, & infection • removal should not cause further injury • flush eye with saline • dry gauze • natural tearing • avoid dry cotton

  17. Special Testing • Snellen Test • Reflexes • Blink • Pupillary Reaction test--p. 575 • Direct light reflex • Consensual light reflex

More Related