Check for flat tire

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Check for flat tire
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Therapy

• Atropine
• Steroids
• Sleep with elevated head (Two pillows)
• No NSAIDS
• Check IOPs frequently

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Complications

• Blood staining of the cornea
• Secondary Cataract
• Secondary Glaucoma

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Therapy

• Removal of cataract with insertion of intraocular
  lens when stable.

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Therapy

• Surgical repair of cornea (Ruptured Globe)
• Do not remove iris as a foreign body

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Therapy

• Repair of retinal detachment
• No therapy for traumatic disruption or retinal
  architecture

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Therapy

• Use plenty of ophthane
• Remove foreign body with 22 gauge needle
• Remove rust ring (tattoo) with 22 gauge needle
• Danger, danger, danger ! Beware of rust rings
  with halos and located in the central axis.

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Foreign Body in Anterior Chamber
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Foreign Body in Lens
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Foreign Body in Vitreous
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If Any Questions ?
Obtain CT
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M R I
Is Contraindicated
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Rx Surgical removal of foreign body
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• Surgical repair of blowout fractures if diplopia
  is present.
• Antibiotics and antihistamines until surgery.

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Super Glue to Eye
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Surgically cut lashesNote Never shave eyebrows
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• Ciliary Flush
• Ciliary flush is an injection of the deep
  conjunctival and episcleral vessels surrounding
  the cornea. It is a danger sign often seen in
  eyes with corneal inflammations, iridocyclitis,
  or acute glaucoma.

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Conjunctival Hyperemia Conjunctival hyperemia
is an engorgement of the larger and more
superficial bulbar conjunctival vessels. A
nonspecific sign, it may be seen in almost any of
the conditions causing a red eye.
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The Systematic Approach 1. History of chief
complaint 2. Visual Acuity (Best corrected) 3.
Pupils 4. Conjunctival Inspection 5. Corneal
Staining
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6. Ophthaine Test 7. Ophthalmoscopy 8.
Bilaterality (Always check both eyes) 9. Recheck
in 24-48 hours