Sam Alexander, MD

1.3 million eye injuries per year in the United States 40,000 of these injuries lead to visual loss

Are one or both eyes affected? Vision at time of examination? Vision prior to trauma?

Symptoms besides decreased vision? Duration of symptoms? Any surgery prior to trauma?

Are one or both eyes affected? Vision at time of examination? Vision prior to trauma?

Vision External exam Pupils Motility exam Anterior segment Ophthalmoscopy Pressure Visual fields

A true ocular emergency Alkali more serious than acid Immediate irrigation essential

Topical anesthesia Copious irrigation Check for foreign bodies

Topical cycloplegic Topical antibiotic Patch eye Prompt referral to ophthalmologist

Assume globe is ruptured Shield eye and refer to ophthalmologist 25% of patients have other ocular injuries

Surgery indicated only for persistent diplopia or poor cosmesis Surgery can be delayed since diplopia may be transient

Avoid lid margin retraction Give tetanus prophylaxis Remove superficial foreign bodies Rule out deeper foreign bodies

Foreign body sensation Pain Tearing Photophobia

Topical cycloplegic Topical antibiotic

Thank You!