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Ocular Injuries: New Strategies In Emergency Department Management (Trauma CME)

November 2015

Abstract


Ocular injuries are common in the emergency department, and they are the most frequent cause of noncongenital monocular blindness in children and adults. This review provides evidence-based recommendations for the diagnosis, treatment, and disposition of patients with all types of ocular trauma, including pain management, the use of antibiotics, cycloplegics, steroids, antifibrinolytics, and patching. Bedside ocular ultrasound has profoundly expanded diagnostic capability, particularly for the multiply injured patient, and routine management and disposition of patients with corneal abrasions has evolved significantly as well. Diagnosis and management of patients with retrobulbar hemorrhage is discussed in detail, with resources for performing vision-saving lateral canthotomy. Systematic evaluation and management of ocular trauma patients will ensure these patients have the best chance for a favorable final visual outcome.

Key words: ocular trauma, corneal abrasion, ocular burn, traumatic iritis, open globe, globe rupture, traumatic hyphema, retrobulbar hemorrhage, retrobulbar hematoma, lens subluxation, lens dislocation, subconjunctival hemorrhage, vitreous hemorrhage, retinal detachment, proptosis, lateral canthotomy, ocular ultrasound

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