1. ACUTE EYE CARE DR AHMED HASSAN OPHTHALMOLOGIST Monash Health
MBBS, FRANZCO
OPHTHALMOLOGIST
Monash Health
Dandenong Eye Clinic

2. Optic nerve Pupils Red desaturation Retina Safe to Dilate
PAINLESS VISUAL LOSS
Optic nerve
Pupils
Red desaturation
Retina
Safe to Dilate
Left RAPD

3. Optic Nerve
Young
Optic Neuritis
Older
Arteritis
Ischaemic

4. Retinal Detachment 1. Myopia or 2. Cataract Surgery Flashes, ‘Curtain’
6/ CF
Mac ON Mac OFF

5. PVD
Posterior Vitreous Detachment
Weiss ring

6. CRVO
BRVO

7. CRAO
BRAO

8. Diabetic Macular Oedema
Central Visual Loss
ARMD
Diabetic Macular Oedema
Pinhole

9. Cataracts

10. EYE INJURIES

11. Conjunctiva
Sub-conjunctival Haemorrhage

12. Hyphaema
Re-bleed risk 5 days
 strict rest, no aspirin

13. Corneal foreign bodies
Local Anaesth drops: BNX, AME, OXY, TET.
25G needle

14. Subtarsal foreign body
‘Look down, and
keep looking down’

15. Microbial Keratitis
Corneal infiltrate
Hypopyon

16. Penetrating eye injury
No eyedrops
Dont remove!
Shield
Keep fasted
Prevent vomiting
CT or Xray
Seidel test for leaks

17. Alkali burns Anaesthetic drop Flourescein drop
3. Evert & sweep fornices
4. Irrigate
Prognosis?
Corneal Opacity
Clock hours of clear limbus

18. PAINFUL RED EYE

19. Herpetic disease
Dendritic (HSV)
Shingles (VZV)

20. Uveitis
Uva (Latin): Grape

21. Iritis  Pain unchanged Younger patient Pupil & vision often normal
1. Anaesthetic drop:
 Pain unchanged
2. Torchlight
 Pain worse

22. Untreated Iritis
Posterior Synechiae
Keratic Precipitates

23. Acute Glaucoma  Pain unchanged Older patient Pupil & vision abnormal
Patient unwell ++
Anaesthetic drop:
 Pain unchanged
Don’t dilate
Diamox 500mg stat if remote
Refer for Laser iridectomy

24. Orbital Cellulitis Sinusitis ? Painful eye movements ? Lids shut:
Roll apart

25. Orbital septum

26. Preseptal

27. Orbital

28. Optic nerve at risk

29. Orbital CT: axial & coronal

30. Meibomian Cyst
Stye

31. Dacryocystitis

32. Conjunctivitis Acute Allergic Viral vs Chlamydia Follicles in both
URTI – viral
Urethritis
Chemosis
Itch