torepool.blogg.se

Intact contralateral direct reflex and ipsilateral consensual reflex loss of contralateral consensual reflex and ipsilateral direct reflex Oculomotor nerve (i.e., efferent nerve) dysfunction on one side

Intact contralateral direct reflex and contralateral consensual reflex loss of ipsilateral consensual reflex and ipsilateral direct reflex Use of an eye shield is required in patients with a ruptured globe to protect the injured eye and preserve the patient's vision.ĭiplopia dysconjugate gaze (i.e., both eyes cannot fix to an object at the same time) ptosisĬranial nerves III, IV, or VI palsy extraocular muscle paresis or paralysisĪssociated globe perforation damage to the lacrimal drainage system or levator muscle After a chemical burn, thorough eye washing for at least 30 minutes or until the pH of the eye is within physiologic range is critical to prevent further damage. Ocular injury from high-velocity trauma or from chemicals may be easily misdiagnosed. Confrontation visual field examination, pupillary examination, and direct ophthalmoscopy of both eyes also should be performed. All patients with eye problems should be tested for visual acuity and ocular movements. Careful eye examination and simple tests can help primary care physicians make decisions about appropriate treatment and referral. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute angle-closure glaucoma, and chemical burns, should be referred immediately to the emergency department or an ophthalmologist.

Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management.