1. Eye Emergencies
Fatima College of Medicine

2. EVALUATION
• Acuteness of symptoms
• Accurate history
• Complete eye examination

3. Chemical Burns
• Immediate intervention is warranted
• Can cause corneal scarring
• Could be acid or alkali
• Tx. Copious irrigation with clean water,
topical antibiotics, and corneal wound
healing agents

4. Chemical Burn

5. CRAO
• Central Retinal Artery Occlusion
• Sudden painless loss of vision
• Presents with pale background retina and a
(cherry-red spot) on the macula
• Blood supply: inner retina- by central
retinal artery, outer retina- by
choriocapillaries

6. CRAO
• Caused by an embolus (usually from the
carotid artery)
• Management: brown bagging, lowering IOP
with anti-glaucoma meds, paracentesis,
ocular massage, streptokinase
• referral to a cardiologist and a neurologist
for having a risk factor for stroke and M.I.

7. Central Retinal Artery Occlusion

8. ACUTE GLAUCOMA
• Blurring of vision, headache, nausea,
iridescent vision
• P.E.- hazy cornea, non-reactive pupil, tense
eyeball, red eye
• Tx. Anti-glaucoma drugs, laser iridectomy,
trabeculoplasty

9. Angle Closure Glaucoma

10. Acute Angle Closure Glaucoma

11. Iridectomy

12. Laser Surgery

13. RUPTURED OR LACERATED
GLOBE
• Best left untouched until ophthalmologist
arrives
• Topical anesthetics, antibiotics and eye
shield should be initialized
• Dx. X- ray, CT scan, B-scan ultrasound
• IOFB-intra ocular foreign body warrants a
referral to a vitreo-retinal surgeon

14. Corneoscleral Laceration

15. Ruptured Globe

16. Penetrating Injury

17. ORBITAL TRAUMA
• Results from a collision
• Coup and contra-coup injury
• May present with periorbital hematoma
• Should rule-out a blow-out fracture
• Dx. CT scan, X-ray

18. Eyelid Ecchymosis

19. Orbital Floor Fracture

20. Conjunctival Hemorrhage

21. LID LACERATION
• Repaired by an ophthalmologist or an
oculoplastic surgeon
• Reapposition of anatomic detailed
anatomic structures are important for
normal functioning
• Avoid aggressive suturing
• Tx. Surgical repair, antibiotics, pain
relievers, anti-tetanus

22. Canalicular Laceration

23. Canalicular Repair

24. CORNEAL ABRASIONS/
FOREIGN BODIES
• Eye pain and red eye
• Dx. Biomicroscopy, fluorescein dye test
• Tx. Removal of FB under slit lamp, Topical
antibiotics, corneal wound healing agents,
eye patch

25. Corneal Foreign Body

26. Thank You