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Ocular Trauma

In Children

R.Naveen Prasad

R.Moses John Wesley

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 Nature of Injury

• lunt

• !aceratin"

• Chemical

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lunt Trauma

• Mild # moderate

 –  “ $ruise” ocular tissues

 # %ye &all intact

• Moderate # severe

 # Ru'ture eye &all

 # (ery severe conse)uences

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!aceratin" Trauma

•   “cut” eye &all

• Outcome de'ends on e*tent and location

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!ocation of Injury

• +nterior ,e"ment

• Posterior ,e"ment

• +dne*a

• Or$ital ,tructures

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+nterior ,e"ment

• Conjunctiva

• Cornea

• Iris

• !ens

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Posterior ,e"ment

• (itreous

• Retina

• O'tic nerve

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+dne*a

• %yelids

• !acrimal ,tructures

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Or$ital ,tructures

• %*traocular muscles

• ony &alls

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-is"ustin" Photo"ra'hs

• ront to $ac/0

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Racoon %ye

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!id !aceration

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,u$conjunctival 1emorrha"e

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Corneal orei"n ody

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Corneal +$rasion

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Curlin" Iron urn

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Corneal !aceration

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Iris ,'hincter Ru'ture

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1y'hema

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Traumatic Cataract

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(itreous 1emorrha"e

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Retinal 1emorrha"e

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O'tic -isc 1emorrha"e

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Or$ital Wall racture

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Common Minor %ye Injuries

• Corneal a$rasion

• Corneal forei"n $ody

• Chemical s'lash

• Traumatic iritis

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-ia"nosis

• 1istory

 # ,har' vs $lunt vs chemical injury

• %*am

 # C1%C2 (I,ION

 # C1%C2 (I,ION

 # C1%C2 (I,ION

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-ia"nosis cont.

• %*am # Pry lids a'art3

 # Cornea clear4

 # Pu'il round4

 # Pu'il $lac/4

 # lood clotted $ehind cornea4

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-ia"nosis cont.

• %*am

 # Red refle*4

 # %yes move symmetrically4

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luorescein Test

• To'ical “eye dye”

• CO+!T li"ht

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Corneal +$rasion

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+$rasion Treatment

• %rythromycin ointment

• 567 'atch

• 879 day follo&7u' &ith eye doc

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Corneal orei"n ody

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orei"n ody Treatment

• +nestheti:e eye

• Remove

 # Cotton s&a$ ;don’t &orsen a$rasion3<

 # 2imura s'atula

 # 567 needle ti'

• %7mycin and 567 'atch

• 879 day follo&7u' &ith eye doc

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Chemical ,'lash

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Chemical Treatment

• IRRI=+T%

• Chec/ '1

• Minor 

 # %7mycin ointment

 # 8 day follo&7u' eye doc

• Major 

 # ,ame day eval $y eye doc

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Traumatic Iritis

• Moderate $lunt injury

• Photo'ho$ia

• !id $ruisin"6edema

• ,u$conj heme or injection

• Pu'il slu""ish

• %val $y eye doc