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Ophthalmologic Emergencies: Assessment and Management
Dian Dowling Evans1, Karen Sue Hoyt
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Evans); and Hahn School of Nursing and Health Science, University of San Diego, San Diego, California (Dr Hoyt).
Emergency departments see millions of eye complaints annually. This guide helps providers recognize and treat eye emergencies to prevent vision loss.
Area of Science:
- Ophthalmology
- Emergency Medicine
Background:
- Millions of emergency department visits annually in the US are for eye complaints.
- Eye trauma is a significant cause of unilateral blindness and vision impairment.
- Effective management of eye emergencies is crucial to prevent permanent vision loss.
Purpose of the Study:
- To provide emergency care providers with essential knowledge for managing eye complaints.
- To outline a systematic approach to the eye examination for emergency settings.
- To present evidence-based treatments for common emergent and non-emergent eye conditions.
Main Methods:
- Review of basic eye anatomy and physiology.
- Discussion of a systematic approach to the eye examination.
- Presentation of evidence-based treatment for selected common eye complaints.
Main Results:
- Essential history questions for eye complaints are detailed.
- Specific examination techniques are described.
- Differential diagnoses and emergency management strategies are provided for various eye conditions.
Conclusions:
- Understanding eye anatomy, examination techniques, and evidence-based treatments is vital for emergency providers.
- Proper recognition and management of eye complaints can prevent permanent vision loss and disability.
- This article serves as a resource for managing common eye emergencies in the ED.
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