This article deals with five of the most common emergencies encountered by haematologists. Stye external hordeolum infected oil gland at the lid margin. Nontraumatic eye emergencies emergency medicine cases. Goldfranks toxicologic emergencies, 10e hoffman rs, howland m, lewin na, nelson ls. These emergencies should be detected by physicians and immediately treated and referred to an ophthalmologist if necessary. Ocular emergencies can cause permanent vision loss if they are not recognized and treated promptly. For each group, the section on triage highlight the features that are crucial during initial assessment by a nonophthalmologist, for instance on presentation to an emergency department. Important eye emergencies in the ed slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
The reason that timing is so crucial is that the window of opportunity to treat infants all but closes at three months of age. Herrmann, dvm ophthalmology intern discussion topics. Principles of anaesthesia for ophthalmic authorstream presentation. This article discusses the etiology, clinical signs, diagnosis, and treatment as well as the prognosis of some of the more common ophthalmic emergencies in horses. Consider using a shortacting cycloplegic eg, cyclopentolate 1%, homatropine 5% to reduce pain from ciliary spasm in patients who complain of headache or photophobia. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to. This powerpoint presentation available for free download at. Between two and five percent of all presentations to general practice are ophthalmic in nature.
In a general casualty department, more than one in 20 attendees presented with eye complaints. Most ocular emergencies involve loss of vision, compromised globe integrity, or severe ocular pain. Eyeinjuries can be lifechanging events and ems personnel should provide the best care possible to save a persons sight. Nontraumatic eye emergencies are seldom very satisfying for the emergency physician to manage. This special consideration focuses on situations that require health care facilitybased dermal, ophthalmic, and pulmonary decontamination.
Ophthalmic conditions the atlas of emergency medicine. Ophthalmic principles goldfranks toxicologic emergencies. May 17, 2012 how they present and how to treat them it is impossible to predict where your medical career will take you. Prompt recognition and treatment of ophthalmic emergencies are crucial to prevention of unnecessary visual impairment. View and download powerpoint presentations on ocular emergency ppt.
Ocular trauma including injuries to the globe, cornea, and eyelids is discussed in chapter 122 ocular trauma. Ocular emergencies medical surgical conjunctivitis corneal abrasion iritis periorbital cellulitis glaucoma central retinal artery occlusion surgical. Prompt recognition and appropriate treatment of ocular emergencies are essential in the pri mary care setting when the outcome may depend on timely management. Only ophthalmic presentation in which treatment should not be delayed to check visual acuity. If the visual axis has not been cleared and optical rehabilitation begun by this age, irreversible deprivational amblyopia occurs in the visual pathways and cortex, dooming salvage of useful vision to failure.
Ocular emergencies pisit preechawat, md department of ophthalmology, ramathibodi hospital slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Unc department of emergency medicine nikki waller 2009 2010. Ppt eye emergencies powerpoint presentation, free download. This chapter covers the whole range of ophthalmic problems, including those that are primarily an ophthalmological problem and others which are part of a wider systemic. These disorders are neurological conditions that can affect your sight and as a result, your daily life. Overview of ophthalmic emergencies emergency medicine and. Ophthalmic assistants work along with ophthalmologists in testing and measuring the patients eye.
Aug 14, 2016 the ed physician must be capable of conducting an ophthalmic history and physical examination to accurately assess each ocular complaint. These emergencies should be detected by physicians and. A whole range of ophthalmological emergencies can present to emergency and urgent care settings, from minor eye infections to sightthreatening injuries. The management of emergent neuro ophthalmic conditions can be a lifesaving encounter for the general ophthalmologist. If so, share your ppt presentation slides online with. To view this presentation, youll need to allow flash. Ophthalmic emergencies for internists november 16, 2016. Scratches, objects, and aggressive eye rubbing may damage the cornea. The assessment of the patient with an eye problem is covered in detail. Of all the causes, acute glaucoma is the one that should not be missed.
Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Although specific diagnosis may require specialist ophthalmic expertise, using simple guidelines nonophthalmologists as well as ophthalmologists can identify patients requiring emergency or urgent evaluation. This chapter discusses the approach to ophthalmic emergencies commonly seen in the ed. Ocular emergency free download as powerpoint presentation. Listed in order that the procedures should be done. Nov 01, 2008 summary ophthalmic emergencies are immediate threats to the visual system that can lead to permanent loss of visual function if left untreated. Anatomy tenons capsule dense fascial sheath surrounding the globe and extraocular muscles from the limbus to the optic nerve sensory blockade shortciliary nerves pass through tenons capsule to globe akinesia direct blockade of ant. Prehospital management of ophthalmological emergencies ppt. Gynecologic emergencies principles of management 1. Ophthalmological emergencies the eyes are the windows to the soul. Bledsoe, do, facep university of nevada ophthalmological emergencies. Lawrence, cpot, aboc, coa 2102016 this lecture is graphic.
A free powerpoint ppt presentation displayed as a flash slide show on id. Common ocular emergencies mahmoud tawfik,md afhsr slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Principles of anaesthesia for ophthalmic authorstream. Ppt ophthalmic emergencies powerpoint presentation free to.
Proptosis, or forward displacement of the globe, can occur secondary to any blunt trauma to the head. If you continue browsing the site, you agree to the use of cookies on this website. Ophthalmic emergencies schoster comparative veterinary. This is a series of images that was put together by j. However, with systematic approach and timely management they can save a patients vision. For each group, the section on triage highlights the features that are crucial during initial assessment such as on presentation to an emergency department. Identify assessment findings consistent with peritonsillar abscess, retropharyngeal abscess, ludwigs angina. Ocular emergencies such as retinal detachments, mechanical globe injuries, and chemical inju. Describe 4 emergent ophthalmic diseases with low patient recognition identified by a recent survey of internal medicine patients accreditation.
For chlamydial conjunctivitis, the clinical features range from mild swelling with a watery discharge to marked lid swelling with a red and thickened conjunctiva with a bloodstained discharge. The ed physician must be capable of conducting an ophthalmic history and physical examination to accurately assess each ocular complaint. The central retinal artery is the first intraorbital branch of the ophthalmic artery and courses through the optic nerve. Most ocular emergencies can be stabihzed by the vetennanan until an ophthalmologist can be consulted if necessary. An understanding of ophthalmic principles will allow the clinician to make timely and more accurate diagnoses that can be sightsaving or lifesaving and is essential to efficient, organized patient. Ppt ophthalmic emergencies powerpoint presentation free. Ophthalmic emergencies are common presenting complaints in an emergency room. Joseph s regional medical center by definition, an ophthalmic. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Prompt recognition and treatment of ophthalmic emergencies are crucial to. Mandell, vmd, dipl acvecc ocular emergencies can be very intimidating for veterinanans. Instillation of topical anesthetic drops facilitates examination while relieving pain and blepharospasm. Aug 18, 2014 ocular emergencies 2 2 chemical injury 3 infection corneal ulcer corneal abscess endophthalmitis 4 painless sudden loss of vision retinal detachment central or branch retinal arterial occlusion giant cell temporal arteritis 5.
Topics covered include proptosis of the globe, retrobulbar abscesses, deep corneal ulcers and a guide on how to easily distinguish an ocular surface problem from intraocular disease. For example, there is a link between ankylosing spondylitis and uveitis, and a link between rheumatoid arthritis and dry eyes, and there are many ophthalmic sideeffects of systemic drugs. Ocular emergency human eye diseases of the eye and adnexa. A twolayer closure should be used on all fullthickness lacerations. Ophthalmic emergencies are conditions that if left unattended for hours could result in permanent blindness or even loss of the eye. The assessing nurse needs to investigate any preexisting ophthalmic or other medical conditions. Find specific details on this topic and related topics from the merck vet manual. For advice about an eye emergency, please contact the ophthalmologist affiliated with your hospital in the first instance. Remove this presentation flag as inappropriate i dont like this i like this remember as a favorite.
Overview of ophthalmic emergencies emergency medicine. Minor ophthalmic and otic disorders pharmacotherapy. Ophthalmological problems can occur in any setting, whether it be in a clinic, on a hospital ward, in the casualty department, or in a general practice. Disclaimer this manual is designed for use by all medical and nursing staff in emergency departments across new south wales. Most ophthalmic emergencies can be treated and stabilized until an ophthalmologist can be consulted.
Ophthalmic emergencies are immediate threats to the visual system that can lead to permanent loss of visual function if left untreated. This powerpoint presentation available for free download. To download files right click on the link and select save target as or save link as. Not all procedures necessarily need to be done, but when done, they should be done in the order listed on both pages. Corneal laceration complicated corneal ulcer anterior lens luxation ophthalmic emergencies could include chronic conditions that suddenly changed to a sighteye threatening situation. Ophthalmic emergencies is the property of its rightful owner.
Patel, md, is assistant professor of ophthalmology at emory university school of medicine in atlanta and practices at the atlanta va medical center and emory eye center. Eye emergency manual an illustrated guide second edition. If the visual axis has not been cleared and optical rehabilitation begun by this age, irreversible deprivational amblyopia occurs in the visual pathways and cortex, dooming salvage of. The arterial blood supply of the eye and orbit is the ophthalmic artery, the first major branch of the intracranial portion of the internal carotid artery, which enters the orbit beneath the optic nerve. Ophthalmic trauma the atlas of emergency medicine, 4e. Ppt ocular emergencies powerpoint presentation free to view.
Although these conditions are not seen commonly in day to day clinical practice, recognition of the underlying pathological processes is important in. More common etiologies include chlamydia trachomatis, viruses herpes simplex, and bacteria staphylococcus aureus, streptococcal pneumoniae, haemophilus species. Ppt ophthalmic emergencies powerpoint presentation. Why focus on neuroophthalmology vision disorders millions of indians suffer from nerverelated vision problems, also known as neuroophthalmology vision disorders, and remain undiagnosed due to lack of specialist care. Scratches, objects and aggressive eye rubbing may damage the cornea. This study was carried out to identify the factors responsible for poor visual. Unc department of emergency medicine nikki waller 20092010. Schoster in the mid 1990s and coined ophthalmic images as one of the first digital student teaching tools he used when on the faculty at the university of wisconsinmadison. Mayo clinic college of medicine is accredited by the accreditation council for continuing medical education to provide continuing medical education for physicians. Goldfranks toxicologic emergencies, 11e nelson ls, howland m, lewin na, smith sw, goldfrank lr, hoffman rs. Common ophthalmic emergencies, international journal of. Top 10 eye emergencies american academy of ophthalmology.
Even patients with serious medical problems can often undergo eye surgery under regional anesthesia provided their medical conditions are well controlled, they can lie flat without moving for the length of the procedure, and they are able to communicate with their ophthalmologist and anesthesia staff. Patients with both malignant and nonmalignant haematological disease may present with dramatic and often life threatening complications of their diseases. Ophthalmic problems encompass 3% of all emergency department visits. The approach to the decontamination process is discussed, but the acute medical management of specific local and systemic toxicities is. Emergency initial management ophthalmic management retinal tear or. Ophthalmic examination work sheet flow sheet map for ophthalmic exam. Ppt ocular emergencies powerpoint presentation free to download id. Ppt traumatic eye emergencies powerpoint presentation, free. Mayo clinic college of medicine is accredited by the accreditation council for continuing medical education to provide continuing medical education for. Summary ophthalmic emergencies are immediate threats to the visual system that can lead to permanent loss of visual function if left untreated. The symptoms are caused by grossly elevated intraocular pressure. The deep sutures 50 or 60 absorbable suture should be placed in a continuous pattern in the tarsal plate the thin connective tissue layer of the eyelid, making sure that they do not penetrate the tarsal conjunctiva. Learn about the veterinary topic of overview of ophthalmic emergencies. A typical ophthalmic assistant resume should include job duties such as performing preliminary eye checkup or testing, explaining the patients about the procedures, gathering necessary information from patients to complete diagnosis, assisting the patients and preparing them for the test.
This book covers lifethreatening scenarios that a general ophthalmologist might encounter, and is designed to help the ophthalmologist make emergency triage decisions for initial evaluation and treatment of potentially vision or lifethreatening conditions. Ppt ocular emergencies powerpoint presentation free to. The adobe flash plugin is needed to view this content. A significant proportion, generally around 6 % of the workload of the emergency department ed, is made up of patients with ophthalmic problems ezra et al. Winner of the standing ovation award for best powerpoint templates from presentations magazine.
Apr 12, 2014 common ocular emergencies mahmoud tawfik,md afhsr slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Ocular emergencies 2 2 chemical injury 3 infection corneal ulcer corneal abscess endophthalmitis 4 painless sudden loss of vision retinal detachment central or branch retinal arterial occlusion giant cell temporal arteritis 5. A shortacting cycloplegic eg, cyclopentolate 1%, homatropine 5% may further reduce pain from ciliary spasm and should be considered in patients who complain of headache or photophobia oral opioid analgesics may be needed for pain cont. This webinar will deal with some of the most common ocular emergencies encountered in general practice. These images can easily be seen via any browser on a pc or apple computer or android phone. Find powerpoint presentations and slides using the power of, find free presentations research about ocular emergency ppt.