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Chapter 62. Minor Ophthalmic and Otic Disorders

Student Questions

Which of the following ophthalmic emergencies requires an immediate consult with an Ophthalmologist?

A. Blood in the eye

B. Acute chemical burn

C. Macular edema

D. Corneal ulcer

Answer: B

Option A: Incorrect. It is not immediate consult, but can be done within 24 hours. Refer to Table 62–1.

Option B: Correct. It requires an immediate referral to an ophthalmologist. Please refer to Table 62–1 for ophthalmic emergencies.

Option C: Incorrect. It is not immediate consult, but can be done within 24 hours. Refer to Table 62–1.

Option D: Incorrect. It is not immediate consult, but can be done within 24 hours. Refer to Table 62–1.

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Table 62–1 Ophthalmic Emergencies: Time to Follow-Up by Ophthalmologist
Immediate Consult Required Within 24 Hours
Foreign body in eye Acute angle-closure glaucoma
Acute, painless loss of vision Orbital cellulitis
Acute chemical burn Blood in the eye (hyphema)
Blunt trauma to eye Macular edema
  Retinal detachment
  Sudden congestive proptosis (bulging of eye forward)
  Corneal ulcer

Adapted from Handler JA, Ghezzi KT. General ophthalmologic examination. Emerg Med Clin North Am. 1995;13:521–538.

Which of the following is an appropriate recommendation for non-pharmacologic management of a corneal abrasion?

A. Affected eye should be rubbed to promote tearing.

B. Corticosteroid eye drops should be applied to reduce inflammation.

C. Contact lenses should be applied to protect cornea.

D. Wear eye protection during sports to prevent corneal abrasion.

Answer: D

Option A: Incorrect. Patients are instructed to not rub the eye if a corneal abrasion is present.

Option B: Incorrect. Corticosteroid drops are not recommended as they steroid may slow the healing of the abrasion.

Option C: Incorrect. Patients are instructed to discontinue the use of contacts until the abrasion is healed.

Option D: Correct. Mild abrasions typically heal quickly within 24 hours. But Non-pharmacological prevention recommends wearing eye protection during sports.

A 25-year-old male presents with a non-painful red eye with an abrupt onset, copious purulent discharge and rapid progression. What is the probable diagnosis?

A. Allergic conjunctivitis

B. Viral conjunctivitis

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