1. Assistant Lecturer of Ophthalmology Benha University Hospitals
Ophthalmology Cases
In office and ER
By Nader Hussein
Assistant Lecturer of Ophthalmology Benha University Hospitals

2. Objectives Awareness about DDx of same complaints
Deliver adequate correct first aid in ER
Avoid misdiagnosis / Overlooking / neglecting signs
Importance of referral + higher ophthalmic consultation

3. Be careful Dx
Act
Refer

4. Be careful
Steriods
Ignorance
Glaucoma

5. ALWAYS
REVISE
TREATMENT

6. Patient knows nothing about ophthalmology
Even minor complaints may lead to sight threatening effects

7. Dreams, plz :D

8. Corneal ulcer HZO

9. Stye / Chalazion
Check VA

10. SC Hge
Occult Globe Rupture ? CBC - Bleeding

11. Abrasions

12. FB

13. Chemical Trauma
Wash
Extract FB
History
Antibiotics
Follow up

14. Conjunctivitis
Hygine
Cornea ? Contact lens ?

15. Questions and Answers

16. Baby with watery eye
Baby with discharge Baby with large eye
Baby with hazy cornea

17. Baby e large globe ?

18. Cloudy Cornea in baby?

19. Preseptal / Orbital Cellulitis

20. Rhino-orbital mucormycosis

21. charonboat

22. Hyphema
Trauma
Bleeding
Rubeosis ! Problems ? IOP
Staing Rebleeding

23. Globe Rupture
CT NPO
Tetanus - Antiemetics
Shield - Refer

25. Orbital fractures

26. CARE OF COMATOSED ?

27. Sight – saving team ICU care of comatosed eye
Pediatric PICU – NICU weekly checkup
Don’t prescribe empirical treatment in outpatient

28. References Globe Rupture, J Robson, Feb 16 2007, www.emedicine.com
Handbook of ocular disease, Jobson Publishing,
P T Khaw et al, Clinical review “ABC of Eyes- Injury to the eye” BMJ  2004;328:36-38 (3 January)
Cameron et al, Textbook of Adult Emergency Medicine, Second Ed, Churchill Livingston, 2004
Eye Emergency Manual, NSW Ophthalmology Service, 2007
Retinal Detachment, G Larkin , Apr 7,
Acanthamoeba, N Crum-Cianflone, Jun ,
Facial Trauma, Orbital Floor Fractures (Blowout), A Cohen, Dec ,
Glaucoma, Acute Angle-Closure, A Darkeh, Oct ,
Scleritis, T Gaeta, Apr
Wilkins RB, Havins WE. Current treatment of blow-out fractures. Ophthalmology. May 1982;89(5):464-6

29. Thank You