Question | Answer |
about __% of child blindness is caused by ocular injuries? | 5 |
should check ___ before removing foreign bodies to protect person removing foreign body and check it after too! | Visual aquity |
try to locate the source of foreign body , if we know the source it may help with ______ and rate of healing | removal |
______ velocity foreign bodies in bed deeper. | higher |
usually use _____anesthetic because fbs can be very painful, especially in cornea. | local |
______is used to examine the eye for very small fbs and may need to use ___ to stain. | slit lamp; fluorescein |
superficial fbs can often be removed by irrigation with _____ & _________? | saline; cotton swab |
tightly lodged fbs must be lifted away with a _______ or _____? | corneal spud/burr |
a metallic fb can cause a ______ ? | rust ring |
a rust ring can form after ____ to ___ hours? | 6-8 |
rust rings can be removed with a ______? | burr |
after removal eye is ___to keep rubbing and blinking from irritating? | patched |
most fb defects heal in _____ hours? | 24 |
if fb is organic(fingernail,wood,etc) it can take up to ___ or ____ days to heal? | 3/4 |
_____ are applied before patching? | Antibiotics |
FBs should be treated when? | immediately |
if FB is removed by tears and blinking there can still have the sensation that something is still in there, which is also known as what? | Foreign Body sensation |
____ foreign bodies usually dont have pain associated with them? | conjunctival |
_______conjunctival foreign bodys usually easily seen against white background? | bulbar |
if there is blood around the FB it means the eye has prob been ______? | penetrated |
these are superficial scratches or erosions of cornea , not seen with naked eye, so fluorescein is used? | corneal abrasion |
treatment for corneal abrasions is? | patch for 24 hours |
with intraocular foriegn bodies constitute a _____ emergency? | surgical |
severity of intraocular foriegn bodies just _____? | depends |
try to find out the ____ of the intraocular foreign bodies? | source |
contusions of eyelids are also known as a ______ eye? | black |
need to examine quickly bc after _____ to ____ hours lids can swell? | 1-2 |
______ compress to immediately reduce swelling ? | cold |
usually after ______to_____ days swelling goes down and ____ starts clearing up | 5/7 ; hematoma |
contusion of globe is _____ or blow to the ____ of the eye? | explosive force/ orbit |
some possible early complications of contusions of the globe? | subconjunctival hemmorage, hyphema,iris problems, glaucoma, dislocation of lens, vitreous hemmorage, retinal tears,detachements,bleeding,choridal rupture, sclearal, avulsion of optic nerve. |
possible late complications of contrusion of globe? | glaucoma, sympathetic opthalmia, phthisis bulbi, cataract,keratitis. |
this is a cut on eyelid , should be seen immediatly ? | lacerations |
a delay in seeing a lacerations of lids could result in _____? | infections |
______ surgery allows Dr. to align the tissues to their original postition? | early |
___ & ______ shot should be given to patient after laceration of lids? | antibiotics/tetanus |
if upperlid gets laceration it could damage the levator palpebral superioris ( raises upper lid) if that happens it could lead to ___? | ptosis |
permanent tearing could result from damage to the ____? | lacrimal apparatus |
entropian = | eye lids turn in |
ectropian= | eye lids turn out |
with lacerations you should patch eye so it doesnt get more irritated then send to the ____? | DR |
how many orbital bones are there ? | 7 |
direct blow to eye can cause a __________ fracture of the orbital bones surrounding the globe? | blowout |
the bottom of the ordit is _____? | thin |
if patient has black eye you should check for fractures with an ____? | xray |
extrinsic muscles can get caught in cracked bones so eye may not be able to ____? which could cause diplopia | turn |
with chemical burns the degrees of burns depends on the concentration of chemical and the ______ of contact? | duration |
____&_____ out chemical as soon as possible with lots of water? | dilute & rinse |
irrigation for ____-_____mins and make arrangement to get to ophalmologist? | 20-30 |
second stages of emergency care? (7) | 1.check VA
2.topical anesthetic
3.continued irrigation if necessary
4.obtain info on type of chemical
5.examine eyelid under magnification remove any particles
6.lids held open using cotton cloth
7.keep patient calm |
never place a miotic or mydriatic drop in ______eye? | injured |
never place an ______ in eye before Dr sees patient? | ointment |
conditions causing double vision?(4) | 1.brain tumors
2.aneurysms
3.myasthenia
4.strokes |
sinusitis,tooth abcess, migranes,hypertension,brain tumor,anxiety,ocular motorproblems . can cause what? | headaches |
prosthisis are _____ body part like plastic eyes? | artifical |
three different ways the eyes can be removed ? | 1.enucleation
2.eviserations
3.exenteration |
this is where the whole eye is removed ... most popular wat with about 75 % of eye removals done like this? | enucleation |
this is the removal of conntents of eyeball? | eviseration |
this is the removal of enitire contents of the orbit - sometimes even lids , usually done with cancer patients? | exenteration |
this is inserted at the time of surgery , shaped like the back of globe and muscles are attached to it? usually has kind of flat front surface and replaces about half the volume of the globe | implant |
this is done at the time of surgery shaped like front of eye , gets eye socket in shape to recieve prosthesis? | conformer |
oculartist is someone who does what? | fits fake eyes |