COMMON OPHTHA ER CASES

An 18 year old male was hit by a shuttlecock. He was rushed to ER with swollen eyes and bleeding. He also complains of severe eye pain and loss of vision. On PE:

What is the diagnosis?

• Orbital blowout fracture

• Corneal abrasion

• Open Globe Rupture

• Anterior hyphema

An 18 year old male was hit by a shuttlecock. He was rushed to ER with swollen eyes and bleeding. He also complains of severe eye pain and loss of vision. On PE:

How do you manage this patient?

• Do eye examination

• Systemic antibiotics

• Put eye shield

• Tetanus prophylaxis

What is the imaging study of choice for ocular traumas?

• MRI

• CT Scan

• Ultrasound

• X-ray

What is the diagnosis?

• Eyelid laceration

• Transected canaliculus

• Eyelid hematoma

• Eyelid cross over

What is the diagnosis?

• Eyelid laceration

• Transected canaliculus

• Eyelid hematoma

• Eyelid cross over

40-year-old male involved in a fist fight an hour prior to consultation. VA 20/20 OU, but patient complained of slight diplopia. Pertinent PE findings include:

Contusion hematoma

Abnormalities in eye movement/alignment where one eye is

upgazed, while the other eye is in the primary position

What is the diagnosis?

• Lens subluxation

• Blowout fracture of the orbit

• Anterior hyphema

• Eyelid hematoma

What imaging test will you request?

• Skull AP/L

• CT Scan

• MRI

• None of the choices

What is the diagnosis?

• Anterior hyphema

• Corneal abrasion

• Leukocoria

• Subconjuctival hemorrhage

What is the diagnosis?

• Anterior hyphema

• Corneal abrasion

• Leukocoria

• Subconjuctival hemorrhage

What is the diagnosis?

• Corneal laceration

• Corneal abrasion

• Leukocoria

• Anterior hyphema