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Published byMaximillian Richardson Modified over 9 years ago
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Eye Injuries
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1-Blunt(contusion) 2-Perforating Injury 3-Perforating Injury & retained foreign body 4-Chemicals ( acid – alkaline ) & burns 5-Sonar (sun rayes Ultra violet Enfera red) 6-Extraocular foreign body
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Blunt Trauma By fist ball can cause abrasion to rupture globe 1- cornea ( abrasion – oedema – staining – tear ) 2- sclera (rupture – haemorrhage ) 3- iris & ciliary body ( miosis – mydriasis – laceration – iridodialysis – antiflexion – retroflexion – aniridia – cyclodialysis – hyphaema ) 4- lens ( vossius’s ring – cataract – dislocation – subluxation – tear ) 5- vitreous ( opacities – haemorrhage – herniation – loss ) 6- choroid (rupture – haemorrhage – detachment ) 7- retina ( macular edema – degeneration – cyst hole – retinal tear – retinopathy ) 8- optic nerve ( atrophy – avulsion )
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Eversion Of Eyelid 1Eversion Of Eyelid 2
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Orbital and subconjunctival haemorrage
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Corneal foreign body Corneal abrasion staind with furecein
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Hyphaema Iridodialysis
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Subluxated lens
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Metal foreign body embedded the iris Perforating wound with prolapsed iris inferiorly
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Perforating Injury Aim of treatment : i. To save vision ii. To prevent sympathetic ophthalmitis Signs : 1. drop of VA 2. Hypotony 3. Shallow AC – hage 4. change of pupil 5. conj edema ( chemosis ) 6. subconj hage 7. iris hole 8. wound track in corneal, lens & vitreous
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Perforating Injury with retained foreign body ( iron – steel – stone – glass – lead pellet – wood spicules ) Effects : 1. mechanical 2. infection 3. chemical action ( inert metal – little reaction – suppuration ) 4. degenerative changes (siderosis - chalcosis )
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Choroidal tears and haemorrhage Solar macular burn
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