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Evaluation of patients with ocular trauma
J B Harlan1, Dante J Pieramici
1Krieger Eye Institute Retina Division, Johns Hopkins Hospital, Wilmer Eye Institute, Baltimore, MD, USA. jbharlan@jhmi.edu
Ophthalmology Clinics of North America
|September 17, 2002
Summary
Initial evaluation of ocular trauma patients involves patient assessment, history, and a systematic eye examination. Advanced imaging and operating room exploration aid diagnosis when clinical findings are unclear.
Area of Science:
- Ophthalmology
- Trauma Care
Background:
- Ocular trauma requires prompt and systematic evaluation.
- Initial assessment prioritizes patient stability and non-ocular injuries.
Purpose of the Study:
- To outline a comprehensive approach to evaluating patients with ocular trauma.
- To detail the key steps in history taking and physical examination for eye injuries.
Main Methods:
- Systematic patient assessment, including medical/surgical and focused ocular history.
- Comprehensive eye examination: visual acuity, pupillary response, visual fields, color vision, intraocular pressure (IOP), slit lamp, and ophthalmoscopy.
- Ancillary testing (CT, ultrasonography) and examination under anesthesia for uncooperative patients.
Main Results:
- A methodical approach ensures thoroughness in diagnosing ocular trauma.
- Ancillary testing and surgical exploration may be necessary for definitive diagnosis.
- Photodocumentation is recommended for all cases.
Conclusions:
- A structured evaluation protocol is crucial for effective management of ocular trauma.
- Early and accurate diagnosis through clinical examination and appropriate testing leads to better patient outcomes.