eye

corneal abrasions

hx: superficial trauma to the eye
exam: stains w/ fluorescein> examine w/ light

corneal abrasions s&s

pain, tearing, blepharospasm (unable to keep eye open)

conreal abrasion tx

polymyxin ointment
tx w/ fluoroquinolones in contact lenses weareres
f/u

conreal lacerations

significant traume (more dangerous)
typically from metaliic object

corneal laceration s&s

initial pain may dull d/t corneal desensitization
profuse lacrimation
uveits(affects the middle layer of the eye)
anterior chamber shallow if full lacerated
IOP is low
KEY FINDING: bubbles /in the anterior chamber
hyphema

corneal laceration tx.

REFERAL!

cover up

keep NPO( incase of emrgencies)

xray/ct if other suspections

hyphema

pooling of blood in anterior chamber (btwn the cornea and iris)
± trauma related
blood is usually reabsorbed over time

hyphema s&s

blood may obstruct iris /pupil= block vision in that eye

hyphema tx.

head rested at 30 degree
beta blocker/ carbonic anhydrase inhibitors
surgery if increased pressure or bleeding