Diferencia entre revisiones de «Conjunctival laceration»
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==Disposition== | ==Disposition== | ||
*Simple: Outpatient | |||
*Complex: Discuss with ophtho | |||
==See Also== | ==See Also== | ||
Revisión del 13:43 24 may 2015
Background
- From penetrating injury to the ocular surface
Clinical Features
- full-thickness defect in the conjunctiva
- chemosis
Differential Diagnosis
Unilateral red eye
- Nontraumatic
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
- Orbital trauma
- Caustic keratoconjunctivitis^^
- Corneal abrasion, Corneal laceration
- Conjunctival hemorrhage
- Conjunctival laceration
- Globe rupture^
- Hemorrhagic chemosis
- Lens dislocation
- Ocular foreign body
- Posterior vitreous detachment
- Retinal detachment
- Retrobulbar hemorrhage
- Traumatic hyphema
- Traumatic iritis
- Traumatic mydriasis
- Traumatic optic neuropathy
- Vitreous detachment
- Vitreous hemorrhage
- Ultraviolet keratitis
^Emergent diagnoses ^^Critical diagnoses
Diagnosis
- Eye Exam
- confirm negative sidel's sign (r/o globe rupture) and no traumatic hyphema
- CT orbit
Management
Simple
- All of the following:
- Superficial
- Not associated with any other serious intraorbital or ocular injury
- Small (<1 cm)
- Erythromycin ophthalmic ointment and ophtho referal in 1-3
Complex
- Discuss with ophthomology
Disposition
- Simple: Outpatient
- Complex: Discuss with ophtho