1. Ms. Bowman EVALUATION OF THE EYE

2. ANATOMY REVIEW Eye contained in bony orbit Protects and stabilizes eye Provides attachment sites for muscles

3. ANATOMY REVIEW Eye structures Globe Sclera Pupil Iris Conjunctiva Ciliary body Lens Retina Rods and cones Optic nerve

4. ANATOMY REVIEW Muscles surrounding the eye rotate the eye

5. HISTORY Location and description of symptoms Photophobia-intolerance to light Scratchiness/”something in eye”-foreign body Itching-edema of conjunctiva Disruption of vision MOI Blunt force trauma Chemicals Foreign substances Prior visual assessment

6. Periorbital area Discoloration Gross deformity Eyebrows Orbit Globe General appearance Eyelids Cornea Conjunctiva Sclera Iris Pupil shape and size INSPECTION

7. PALPATION Orbital margin Frontal, nasal, zygomatic bones Eyelid, skin around eye

8. SPECIAL TESTS-FUNCTIONAL Vision assessment Snellen eye chart Pupillary reaction to light PEARL Eye motility

9. SPECIAL TESTS-NEUROLOGICAL Numbness tingling Cranial nerve assessment-instruction to be provided when we discuss the head

10. SPECIAL TESTS-SPECIFIC Fluorescein strips Corneal abrasions

11. Corneal laceration Visible deformity, irregularly shaped pupil Iritis “red eye” Detached retina Flashes of light, halos, or blind spots in vision “curtain” or shape being pulled over vision Ruptured globe Black spots on sclera Complete or partial loss of vision Hyphema Pupil tear drop in shape SPECIFIC EYE INJURIES

12. Conjunctivitis Viral or bacterial infection Eyelids stick together Burning or itching Red swollen discharge Foreign bodies Debris Penetrating objects SPECIFIC EYE INJURIES