Emerg Med Pract 2015 Nov 1;17(11):1-21; quiz 21-2. Epub 2015 Nov 1.
Assistant Program Director, Assistant Professor, Sinai-Grace Emergency Department, Wayne State University, Detroit, MI.
Ocular injuries are common in the emergency department, and they are the most frequent cause of noncongenital monocular blindness in children and adults. This review provides evidence-based recommendations for the diagnosis, treatment, and disposition of patients with all types of ocular trauma, including pain management, the use of antibiotics, cycloplegics, steroids, antifibrinolytics, and patching. Bedside ocular ultrasound has profoundly expanded diagnostic capability, particularly for the multiply injured patient, and routine management and disposition of patients with corneal abrasions has evolved significantly as well. Read More