By Lennox A. Webb FRCS MRCOphth
This revised 2d variation is a very new and special approach to the topic, redesigned to be the basic scientific reference for someone who treats emergency eye stipulations within the fundamental care atmosphere or emergency room. Well-presented info in a transparent, scientific technique contains necessary tables, charts, bullet issues, and various colour illustrations. step by step directions lead the reader via useful analysis and administration of more often than not providing eye difficulties. Its designated format, decision-making pathways, concise assurance, and down-to-earth suggestion make it a vital source for the exact prognosis and fast administration of eye emergencies.
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Additional resources for Manual of Eye Emergencies: Diagnosis and Management
Management 1. 0% to allow examination if required. 2. Fluorescein will stain soft lenses – advise patient, and use to help locate lens if lost (see p. 36). 3. Once lenses have been removed look for abrasions, ulcers, or diffuse staining indicating overwear (often as a result of sleeping with lenses in) or chemical injury due to lens cleaning solution. 4. Irrigate if history implicates contact lens cleaning solution. 5. In severe cases instill a drop of cyclopentolate 1% to relieve ciliary muscle spasm and pain.
7. Treat diffuse staining as an abrasion (see p. 24) and patch the worst eye. 8. If an ulcer is present (see p. 38) refer as below. 9. Discharge on chloramphenicol ointment 1% four times daily for 5 days. 10. Instruct patient to leave out contact lenses until they have been checked for foreign bodies by their optician and not to re-insert them for a minimum of 1 week. Referral and Follow Up ■ corneal ulcer – discuss with ophthalmologist immediately 49 50 Eye Emergencies ■ ■ punctate staining – review within 24 hours – if not improving discuss with ophthalmologist advise patient to see optician as in 10 above.
1. Uveitis – haze, which may be very subtle, with inflammatory cells may be visible in the aqueous with a slit lamp. 2. 4). 3. 33). Red Eye Anterior chamber Vitreous cavity Fig. 13b Keratic precipitates Fig. 14 Acute uveitis. Lens A partial or total cataract may be associated with a penetrating injury if the history is suggestive. 23 24 Eye Emergencies Fig. 15a Scleral injection – mild in episcleritis, severe in scleritis. 10 Fig. 15b Fundus Often difficult to examine adequately in acute cases – and rarely any pathology to account for an acute red eye.
Manual of Eye Emergencies: Diagnosis and Management by Lennox A. Webb FRCS MRCOphth