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Ophthalmologic Emergencies Division of Emergency Medicine Stanford School of Medicine
Challenges of Eye Complaints ,[object Object],[object Object],[object Object],[object Object]
General Approach to Eye Complaints ,[object Object],[object Object],[object Object],[object Object]
Everting the eyelid
Common Eye Lid Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of the “Red Eye” Reduced vision Ciliary injection Corneal edema Dilated pupil Raised IOP Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Headache, Halos, Vomiting Acute Glaucoma Reduced vision Ciliary injections Localised corneal opacification, abrasion or FB Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Keratitis/Foreign Body/Abrasion Reduced Vision Cliary injection Constricted pupil  Flare in AC Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Iritis Conjunctival hyperemia Swollen lids Mucoid Discharge Bilateral (usually) Gritty feeling (not pain) Stickiness Conjunctivitis Signs Symptoms
Many causes of the “Red Eye” ,[object Object],[object Object],[object Object]
Acute Angle Closure Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the anterior chamber
Shallow anterior chamber ,[object Object],[object Object]
Acute Angle Closure Glaucoma ,[object Object],[object Object]
Another “Red Eye” ,[object Object],[object Object],[object Object]
Iritis ,[object Object],[object Object],[object Object]
Cell and Flare
My baby’s got pink eye ,[object Object],[object Object]
My baby’s got the pink eye ,[object Object],[object Object],[object Object],[object Object]
Eye pain and FB sensation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Red painful eye in a contact lens wearer ,[object Object],[object Object],[object Object]
Eye pain in a contact lens wearer ,[object Object],[object Object],[object Object]
Painful eye.  Diagnosis?
Another red eye ,[object Object],[object Object],[object Object]
Sudden painless visual loss ,[object Object],[object Object]
Central retinal artery occlusion (CRAO) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Traumatic Conditions of the Eye
Poked in the eye! ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Open Globe  Treatment
FB sensation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Positive Seidel’s ,[object Object],[object Object],[object Object]
Drain cleaner in the eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Baseball versus eye ,[object Object],[object Object],[object Object],[object Object]
BLOWOUT FRACTURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pathophysiology
Blunt Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blunt Trauma ,[object Object]
Eyelid laceration ,[object Object],[object Object],[object Object]
“ Eyelids don’t have fat” ,[object Object],[object Object],[object Object],[object Object]
Questions and Answers

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Eye

  • 1. Ophthalmologic Emergencies Division of Emergency Medicine Stanford School of Medicine
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  • 6. Causes of the “Red Eye” Reduced vision Ciliary injection Corneal edema Dilated pupil Raised IOP Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Headache, Halos, Vomiting Acute Glaucoma Reduced vision Ciliary injections Localised corneal opacification, abrasion or FB Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Keratitis/Foreign Body/Abrasion Reduced Vision Cliary injection Constricted pupil Flare in AC Unilateral (usually) Lacrimation Photophobia (Pain!) Blurred vision Iritis Conjunctival hyperemia Swollen lids Mucoid Discharge Bilateral (usually) Gritty feeling (not pain) Stickiness Conjunctivitis Signs Symptoms
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  • 9. What is the anterior chamber
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  • 20. Painful eye. Diagnosis?
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