Diagnostics: Ophthalmologic Trauma
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Dr. Pawlik walks us in depth through the evaluation, diagnosis and management of traumatic injuries to the eye.
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The Mighty Paper Clip
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You’re working in the ED on a busy Halloween evening. So far you have seen patient’s in all manner of costumes.. 2 Donald Trumps, 1 Santa Claus, a father-daughter pairing of Beast and Belle. Your next patient is dressed as Kylo Ren. He is a 16 yo M who was out trick or treating with some friends when they started to play fight with their lightsabers. He was attempting to block a strike when his friends lightsaber bounced off his and hit him in the right eye. He immediately had severe pain in the eye and face and noticed some loss of vision. He went home and showed his parents who brought him to see you in the ED.
Read MoreAnnals of B-Pod: Quick Hit Case
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Open Globe and a Discussion about Traumatic Hyphema
The patient is a male in his 40s who presents after sustaining an injury to his right eye with a fishing hook. He states that a three-barbed hook pierced his eye while fishing with his friend. On gross inspection, the hook was noted to have pierced the inferior eyelid causing an obvious right open globe and there was a large hyphema. While he was initially able to count fingers at four feet in his superior visual field, his visual acuity quickly deteriorated to light perception only. Extraocular movements were intact and caused movement of the hook. Ophthalmology was consulted and a CT was obtained. The patient was then taken to the OR for anterior chamber washout, open globe repair, and removal of the fish hook. He was discharged following the surgery with next day follow-up with ophthalmology.
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