Abstract
Unless emergency intervention is indicated (chemical injury; see Chaps. 1.10, 3.1), the patient’s systemic condition as well as the eye’s injuryrelated pathologies must be properly evaluated. The primary goal of the evaluation process is to obtain all the necessary information from/of the patient to allow: • Systemic triaging: which of the patient’s systemic conditions require primary intervention (brain or thoracic trauma, gastrointestinal bleeding, etc.). Teamwork, including neurosurgeons, trauma specialists, ER and ICU physicians, among others, may be required to make intervention decisions. • Ocular triaging: this includes the determination of the sequence of interventions (e.g., treatment of an open globe injury must precede reconstruction of a lid laceration) as well as the nature and timing of the intervention (e.g., staged or comprehensive, immediate or delayed; see Chap. 1.8).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Carpineto P, Ciancaglini M, Aharrh-Gnama A, Agnifili L, Cerulli AM, Cirone D, Mastropasqua L (2005) Optical coherence tomography and fundus microperimetry imaging of spontaneous closure of traumatic macular hole: a case report. Eur J Ophthalmol 15: 165−169
Coleman DJ, Silverman RH, Chabi A, Rondeau MJ, Shung KK, Cannata J, Lincoff H (2004) High-resolution ultrasonic imaging of the posterior segment. Ophthalmology 111: 1344−1351
Endo S, Ishida N, Yamaguchi T (2001) Tear in the trabecular meshwork caused by an airsoft gun. Am J Ophthalmol 131: 656−657
Fuller DG, Hutton WL (1990) Prediction of postoperative vision in eyes with severe trauma. Retina 10 (Suppl 1): S20−S34
Harlan J Jr, Ng E, Pieramici D (2002) Evaluation. Thieme, Stuttgart, pp 53−69
Hart WM Jr, Burde RM (1985) Color contrast perimetry. The spatial distribution of color defects in optic nerve and retinal diseases. Ophthalmology 92: 768−776
Jandeck C, Kellner U, Bornfeld N, Foerster M (2000) Open globe injuries in children. Graefe’s Arch Ophthalmol 238: 420−426
Kakizaki H, Zako M, Iwaki M, Mito H, Katori N (2005) Incarceration of the inferior oblique muscle branch of the oculomotor nerve in two cases of orbital floor trapdoor fracture. Jpn J Ophthalmol 49: 246−252
Knoop K, Trott A (1995) Ophthalmologic procedures in the emergency department: Part III: Slit lamp use and foreign bodies. Acad Emerg Med 2: 224−230
Lee HJ, Jilani M, Frohman L, Baker S (2004) CT of orbital trauma. Emerg Radiol 10: 168−172
Ludwig IH, Brown MS (2001) Strabismus due to flap tear of a rectus muscle. Trans Am Ophthalmol Soc 99: 53−62
Mafee MF, Mafee RF, Malik M, Pierce J (2003) Medical imaging in pediatric ophthalmology. Pediatr Clin North Am 50: 259−286
Mahapatra A (1992) Optic nerve injury in children. A prospective study of 35 patients. J Neurosurg Sci 36: 79−84
Mandelbaum S, Cleary PE, Ryan SJ, Ogden TE (1980) Bright-flash electroretinography and vitreous hemorrhage. Arch. Ophthalmol. 98: 1823−1828
McElvanney AM, Fielder AR (1993) Intraocular foreign body missed by radiography. Br Med J 306: 1060−1061
Olver J, Hague S (1989) Children presenting to an ophthalmic casualty department. Eye 3: 415−419
Van Eeckhoutte L, De Clippeleir L, Apers R, Van Lammeren M, Janssens H, Baekeland L (1998) A protocol for extraocular muscle surgery after orbital floor fracture ("blow-out"). Binocul Vis Strabismus Q 13: 29−36
Weiss MJ, Hofeldt AJ, Behrens M, Fisher K (1997) Ocular siderosis. Diagnosis and management. Retina 17: 105−108
Wojtkowski M, Srinivasan V, Fujimoto JG, Ko T, Schuman JS, Kowalczyk A, Duker JS (2005) Three-dimensional retinal imaging with high-speed ultrahigh-resolution optical coherence tomography. Ophthalmology 112: 1734−1746
Yoshii M, Enoki T, Mizukawa A, Okisaka S (2004) Intraorbital wooden foreign body. Acta Ophthalmol Scand 82: 492−493
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kuhn, F. (2008). Evaluation. In: Ocular Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33825-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-540-33825-3_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-33824-6
Online ISBN: 978-3-540-33825-3
eBook Packages: MedicineMedicine (R0)