Thanks to Dr. Wang for today’s Morning Report! Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History Type of object Time of injury Contact lenses? Prior history Read more…
Serena Williams strolls into your ED complaining of right eye pain for 2 days. She tells you that her right eye started hurting 2 day ago, after a tennis ball hit her face while practicing to dominate the US Open and win the 2015 Serena Slam. Since then she developed pain, photophobia, Read more…
Here’s Dr. Brevil with today’s Morning Report! Ocular Ultrasound Since the anterior and posterior chambers of the eye contain vitreous fluid, the eye is an ideal acoustic window for ultrasound imaging Normal Anatomy: Iris separates lens and anterior chamber Retinal Detachment Atraumatic RD in 1/10,000 Presence of unilateral Read more…
Thanks to Dr. Wang for today’s Morning Report! Lateral Orbital Canthotomy Indications: Retrobulbar hemorrhage Increase IOP (IOP >40mm Hg) Proptosis Contraindications: Globe rupture Hyphema Tear-drop-shaped pupil Peaked or irregularly shaped pupil Procedure: Positioning: patient in the supine position. Possibly restrained or undergo conscious sedation Local anesthesia Read more…
It’s a busy weekday shift in the Peds ED on Jolly Roger Island. A captain brings in his 11 day old newborn scallywag, concerned about her left eye being ‘swollen, crusty, and oozing pus.’ He notes that she cries anytime he tries to touch it. Her vital signs are On exam Read more…
Here’s Dr. Alsup with today’s Morning Report! Eye Infections Orbital septum -Connective tissue extension of the orbital periosteum -Extends into the upper and lower eyelids Periorbital / Preseptal Average age: 2 yo Result of local trauma, including insect bites Spread from contiguous structures, as in conjunctivitis, hordeolum, Read more…
Today’s Morning Report is presented by Dr. Shin! Eye Foreign Body Removal Immediately refer to an ophthalmologist in case of the following: o Hyphema o Diffuse corneal damage (focal or diffuse opacity) o Scleral or corneal laceration o Lid edema o Posttraumatic dilation of pupil or abnormal shape Read more…