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Management of Eye Trauma for the Primary Care Physician

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Author/s: 
Rho, J. Y., Dryden, S. C., Jerkins, B. M., Fowler, B. T.
Date Added: 
November 2, 2021
Journal/Publication: 
The Journal of the American Board of Family Medicine
Publication Date: 
September 1, 2021
Issue: 
5
Volume: 
34
Pages: 
1018-1029
Type: 
Meta-analyses, Reviews, and Guidelines
DOI (1): 
10.3122/jabfm.2021.05.210121
MeSH 
Hyphema
Orbital Fractures
Optic Nerve Injuries
Retinal Detachment
Lacerations
Opthalmology
Eye Injuries
Eyelid Diseases
Soft Tissue Injuries
Burns, Chemical
Eyelids
Telemedicine

RPR Commentary

A suggested process for evaluating, managing, and referring patients with eye trauma.

Abstract

Eye trauma is frequently seen by non-ophthalmology providers. This article elucidates a methodological approach to eye trauma. The first step is to address any life-threatening conditions. Then a focused history and exam is discussed, starting externally. Then, key history, physical, pathophysiology, and basic management of common, serious eye injuries are discussed: chemical injury, orbital fractures, open globe, traumatic hyphema, retinal detachment, traumatic optic neuropathy, and eyelid laceration. Finally, we highlight the practicality of telemedicine for areas where ophthalmology coverage is lacking.