Atlas Sports Medicine Eye

EYE

ACID Burn Extensive facial burns and destroyed globe from ACID BURN accident to face and eye. Left eye cannot be salvaged (needs glass eye). Take great care of his remaining good ®eye. Note: Acid burns not as bad as alkali burns as the latter penetrate the eye.

ALKALI Burn Alkali burn of the eye is subtle, easily missed and devastating. Note the scleral whitening and corneal cloudiness due to alkali infiltration into the deeper corneal layers. OCULAR EMERGENCY

Subtle penetrating injury. Note obvious corneal abrasion (near the limbus), with a reactive ciliary injection. Note from inspecting the pupil that there is a small intraocular foreign body (the corneal lesion is the perforation site).

Penetrating injury of the eye. This lady brought to ER with a firm, triplelayered eye pad for eye injury suspected penetration. DO NOT PAD this way.

Note damage done to the eye if intra-ocular pressure is increased in the presence of ocular penetration. Never firmly pad or manipulate a suspected penetrating injury of the eye.

Heterochromia. The difference in iris colour is due to iron deposition in the left eye, after a long standing hyphaema (Fe comes from the haemoglobin). Pupils dilated with mydriatic.

Severe subconjunctival haemorrhage with extensive protrusion of the conjunctiva. Check-out for ocular damage such as an orbital fracture.

Severe non-penetrating blunt trauma to eye with hyphaema, ovalshaped/irregular pupil and 360° iris detachment. EMERGENCY

CT scan shows obvious Fx in Right orbit with herniation of intra-ocular tissue( fat or inferior rectus muscle).

Fundoscopy shows a Fractional retinal detachment from a penetrating eye injury.

Blunt trauma causing iridodialysis of the superior iris(11 oclock) and Traumatic mydriasis. Easily missed.

Head and Eye trauma. SCH, lacerations on lower eyelid and obvious VII n. palsy. Examine Face AND Eye.

Corneal FB, insect bite.