HKCEM College Tutorial. Traumatic Eye Emergencies. Author Dr. TW Wong revised by Dr. Lam Pui Kin, Rex Oct., 2013. Objectives. Understand how to manage Eye injuries due to foreign body Blunt eye trauma Chemical injury. Case 1. M 40 R Eye discomfort after ? FB to eye
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Understand how to manage
Metallic Foreign Body (FB) to the eye
Upper fornix by everting eyelid
Remove FB with
What further test is necessary?
What is the treatment for this?
Subconjunctival FB-- a piece of wood
Penetration of globe should be R/O
What would you do next ?
High velocity FB e.g. hammer & chisel injury
What else do you need to check?
Consider retinal detachment until proven otherwise
Urgent referral to eye is necessary even if exam is normal in ED
How do you test for pH ?
What is the normal
pH for tear?
LA eye drop
NS via drip
Remember to retract lids and swab fornicesfor particulate matter
We have covered:
1. Eye injuries due to FB
2. Blunt eye trauma
3. Chemical injury