Ophthalmic Injuries

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Section 6 - TRAUMA

6.09 OPHTHALMIC INJURIES

INITIAL TRAUMA CARE, (2.02).

CHEMICAL:

  • Quickly assess gross visual acuity.
  • After obtaining a thorough history to rule out a penetrating injury, Pontocaine Ophthalmic may be utilized to anethetisize the eye.
    • (Adults and Children: 1-2 gtt per affected eye)
  • Thoroughly irrigate affected eye(s) using continuous NaCl irrigation through IV tubing and / or Nasal Cannula. Start irrigation as soon as possible and continue while en route to hospital.


PENETRATING:

  • DO NOT remove impaled object.
  • Protect injury by applying eye shield and bandage over eye(s) avoiding any pressure onto eye itself.
  • Patch other eye.
  • Keep patient from bending or straining.
  • DO NOT USE PONTOCAINE IN PENETRATING EYE INJURIES!


BLUNT TRAUMA:

  • If blood noted in anterior chamber, (hyphema), transport with head elevated at least 60 degrees.
  • Dim lights to patient comfort.
  • Apply eye shield if needed.