The most recent issue of Emergency Medicine Australasia contains a review article on 'Resources for the management of ocular emergencies in Australia'. O'Connor PM, Crock CT, Dhillon RS, Keeffe JE. Review article: Resources for the management of ocular emergencies in Australia. Emerg Med Australas. 2011 Jun;23(3):331-6. doi: 10.1111/j.1742-6723.2011.01411.x. Epub 2011 Apr 7.: … [Read more...] about Resources for Ocular Emergencies
Eye
Clinical Quiz 022
Scenario A 25 year old man presents with a four day history of increasing left eye pain, photophobia and decreased vision. Question a. Describe and interpret his photograph (30%) b. Outline your further history and examination (70%) Answer [DDET Answer and Interpretation] FACEM VAQ Exam 2010.2 - Question 2 The overall pass rate for this question … [Read more...] about Clinical Quiz 022
Bashed, Blind and Bulging
aka Ophthalmology Befuddler 033 A 35 year-old martial artist presents with loss of vision in his right eye after being on the wrong end of a spinning back fist. Examination of the right eye reveals: He is unable to detect light when the eyelids are passively opened. There is a relative afferent pupillary defect affecting the right eye. Extraocular movements are … [Read more...] about Bashed, Blind and Bulging
Another Poke in the Eye
aka Ophthalmology Befuddler 032 A 57 year-old man presents to the emergency department after being accidentally poked in his left eye by his grandson. He complains of sharp pain on the surface of his eye and photophobia. He refuses to open his eyelids until you instill a few drops of topical anesthesia. This is what you see after applying fluorescein to the … [Read more...] about Another Poke in the Eye
Half an 8 ball
aka Ophthalmology Befuddler 030 A 26 year-old man sustained an injury of uncertain mechanism to his left eye while at the bottom of a ruck during a game of rugby. Fortunately, his team went on to win 24-16. However he still has a problem. His left eye looks like this: Questions Q1. What is shown? [DDET Answer and interpretation] An anterior hyphema --- a … [Read more...] about Half an 8 ball