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Eye trauma - • Rupture of the globe – This is very rare...

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Eye trauma «...back This article deals with eye trauma. Trauma Eye trauma is a significant cause of morbidity and visual loss in the <60s. In the history and examination of a patient with eye trauma it is important to take a careful history and to pay particular attention to high- velocity ocular perforation, the visual acuity of the patient must also be recorded. Remember, lid oedema makes examination of the eye difficult. Superficial trauma The most common problems associated with superficial trauma include: Subconjunctival haemorrhage – These may look dramatic but are usually insignificant. Corneal abrasion – Fluorescein is often used to show up lesions. Foreign bodies – These may often be cleared by a tear film but may lodge in the fornicies. Blunt trauma Important problems caused by blunt trauma are: Hyphaema – This can signify significant trauma and damage to the intraocular structure. Orbital fracture – The inferior walls usually fracture as they are the thinnest.
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Unformatted text preview: • Rupture of the globe – This is very rare, but can be problematic Perforating trauma Problems and causes of perforating trauma of the eye include: • Intraocular foreign bodies – Glass is inert, metals may rust and both can introduce infections. • Corneal and sclearl laceration – These may be partial or full thickness. Chemical trauma In regards to chemical trauma of the eye: • Minor irritants include perfumes and hair sprays. • Harmful chemicals are acids and alkalis – Acids can coagulate proteins and do no penetrate the eye. Alkalis penetrate the conjunctiva and cornea and can pass deep into the eye. • The management of chemical trauma should always be copious irrigation. Long term consequences The longer term consequences of any type of eye trauma include: • Cataracts • Glaucoma • Retinal detachment • Corneal scarring and astigmatism...
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Eye trauma - • Rupture of the globe – This is very rare...

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