Patient Care

Traumatic Eye Injury Management Principles for the Prehospital Setting

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Eye Injuries, 1312JEMS_57.pdf

<p>Figure 1a: As is typical with open globe injuries, the teardrop points toward the corneal injury. Photos courtesy Lawrence B. Stack and R. Jason Thurman</p>

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Eye Injuries, 1312JEMS_58.pdf

<p>Figure 2a: A chemical burn can cause irreversible damage to the eye in minutes. Photo courtesy R. Jason Thurman</p> <p>Right: Figure 2b: Severe chemical eye burns can cause a large corneal defect. Photo courtesy Lawrence B. Stack</p>

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Eye Injuries

<p>Figure 2c: When positioning nasal cannula tubing for eye irrigation, the cannula prongs should be placed at the medial aspect of the affected eye. Then, irrigation solution can be injected through the tubing to wash out the eye. Photo courtesy Lawrence B. Stack</p>

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Eye Injuries

<p>Figure 3: Attempts to remove intraocular foreign bodies should not be made in the prehospital setting. Photo courtesy Lawrence B. Stack</p>

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Eye Injuries

<p>Figure 4a: More than 80% of patients with traumatic hyphemas have concomitant injuries, such as facial fractures and open globe injuries. Photo courtesy Lawrence B. Stack</p>

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Eye Injuries

<p>Figure 6: Anisocoria occurs when one eye has a defect that prevents either normal pupillary constriction or normal pupillary dilation. Photo courtesy Lawrence B. Stack</p>

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Eyes Injuries, 1312JEMS_56.pdf

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Eye Injuries

<p>Figure 1b: Here, a patient shows a prolapse of the iris through an open globe defect in the cornea at the 10-o’clock position. This represents “extrusion of globe contents,” and signifies an open globe injury. Photo courtesy Ted Brenkert</p>

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Eye Injuries

<p>Figures 5a and 5b: Prehospital management of retrobulbar hematomas includes rapid transport and minimizing IOP. Photo courtesy Lawrence B. Stack</p>

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Eye Injuries

<p>Figure 4b: This patient presents with a 100%, “8-ball” hyphema. Photo courtesy Lawrence B. Stack</p>