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Triage of ocular Trauma

Trauma to eye

Ocular Trauma: 

Damage or trauma inflicted to the eye by external means. The concept includes both surface injuries and intraocular injuries. During trauma soft tissues and bony structures around the eye may be involved.

Ocular trauma is the cause of blindness in about half a million people worldwide. 

Trauma is the most important cause of unilateral loss of vision, particularly in developing countries.

1. Treat on Site and Refer immediately, if

  • Chemical Injury: 

Chemical Injury may be from Acid or Alkali. Which need immediate irrigation of the ocular surface using the Normal Saline, if normal saline is not available to irrigate with clean tap water, refer immediately after irrigation. 

  • Unremovable Corneal or Conjunctival Foreign Body

2. Refer Immediately, if

  • Decreased Visual Acuity
  • Irregular Pupil
  • Severe Pain
  • Corneal or Scleral laceration
  • Hazy Cornea 
  • Severe lid swelling
  • Proptosis 
  • Hyphema
  • Absent of Red Reflex
  • Suspected Intra Ocular FB
  • Lid Laceration

3. Refer within 24 hours 

  • Pain
  • Photophobia
  • Diplopia 
  • Large Corneal abrasion
  • Moderate conjunctival chemosis but normal vision
  • Suspected orbital wall fracture 
  • F.B sensation but no foreign body visible 

ocular trauma


Reference:
1. AAO Publication