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9 Trauma Mata211
9 Trauma Mata211
MANAGEMENT
INTRODUCTION
INDUSTRY
TRAUMA
>>
PRODUCTIVE AGE
BLIND
RIMA/ORBITAL BONES
EYE CLOSING REFLEX
EVASIVE AND
DODGING HEAD
MANEUVER TO AVOID
DANGER TO THE EYE
EYE
TRAUMA
CLOSED
EYEBALL
CONTUSI
O
OPEN EYEBALL
LAMELLAR
LACERATION
PENETRATION
LACERATION
RUPTURE
IOFB
RUPTUR
E
OCCUPATION :
LOCATION :
WORKPLACE : 67,3 %
HOME
: 18,4 %
ROAD
: 9,2 %
FARM
: 2,1 %
SPORT AREA : 1,7 %
SCHOOL
: 1,3 %
PENYEBAB TRAUMA
BLINDNES
S
EXAMINATION
ANAMNESION
!
TIME
LOCATION
ACTIVITY
EYE PROTECTION DEVICES
CAUSE
EYE EXAMINATION
VISUAL ACUITY
VISUAL FUNCTION
SNELLEN CHART
DISTANT
PAPERS/MAGAZINE
S NEAR
ONE BY ONE
SWOLLEN LIFT THE
EYELID CAREFULLY
WITHOUT PRESSING
THE EYEBALL
EXTERNAL EXAMINATION
EYELID
TORCH + BINOCULAR
LOUPE
LACERATION DEPTH,
AREA, AVULSION &
LACRIMAL APP.
GLASS/FOREIGN BODY
EVERSION OF THE EYELID
AREA PALPATION #
ORBITA/NASAL
DRAWING FOR EYELID
RECONSTRUCTION
CONJUNCTIVA
SLIT LAMP
BIOMICROSCOPY
SUB CONJUNCTIVAL
BLEEDING/CHEMOS
IS SMALL
POSSIBILITY FOR
PENETRATING
WOUND
LOCAL CHEMOSIS
IOFB/SCLERAL
RUPTURE
CORNEA
EYEBALL MOVEMENT
ANTERIOR CHAMBER
HYPHAEMA
DEPTH
IRIS
IRIDODIALISA
IRIS SPHINCTER RUPTURE
FOREIGN BODY
PROLAPSED IRIS
PUPIL
LENS
FUNDUS EXAMINATION
POSTERIOR SEGMENT OF
THE EYEBALL
OPHTHALMOSCOP
IMPORTANT :
VITREOUS CLARITY,
IOFB LOCATION
POSTERIOR EYEBALL
PENETRATING WOUND
MACULAR &
CHORIORETINAL
HAEMORRHAGE,
RETINAL DETACHMENT
OPTIC DISC CONDITION
ADDITIONAL EXAMINATION
MANAGEMENT
EYELID TRAUMA
PRINCIPAL EXTIRPATE
CELL/TISSUE DAMAGED/LYSIS
PENETRATION TO THE CORNEA & AC
DAMAGE >> SEVERE
ACID :
BASE:
ACID:
MANAGEMENT :
IRIGATE WITH
FLOWING WATER,
(NO NEED TO BE
STERILE) 30
MINUTE
COMMUNITY HEALTH
CENTER
INFUSION SET +
AQUADEST / NaCL
0,9 %
REFER
Grade II
(good prognosis)
Grade III
(guarded prognosis)
Grade IV
(very poor prognosis)
No iris details
Opaque cornea
THERMAL TRAUMA
EYELID EDEMA-HYPEREMIC
SELDOM AFFECT THE CORNEA
BLINK REFLEX
CAUSE >> SIGARETTE
TH/ IF AFFECT THE CORNEA
TOPICAL AB + CYCLOPLEGIC
REFER
CONJUNCTIVAL TRAUMA
HAEMORRAGE DISSAPEARED IN FEW
WEEKS
EDEMA/CHEMOSIS SCLERAL
RUPTURE
CONJUNCTIVAL LACERATION
EXPLORE POSSIBILITIES OF
SCLERAL PERFORATION
REFER
REFER
CORNEA TRAUMA
REFER
REFER
REFER
Hyphaema
Cataract
Sphincter tear
Lens subluxation
Iridodialysis
Angle recession
Vossius ring
Rupture of globe
POSTERIOR SEGMENT
VITREOUS HAEMORRHAGE,
CHOROIDAL RUPTURE & MACULAR
EDEMA
REFER
Commotio retinae
Equatorial tears
Macular hole
Optic neuropathy
Vitreous haemorrhage
Uveal prolapse
Endophthalmitis
Absolute Emergencies
Within 2 weeks
IOFB
Secondary reconstruction (eg:retinal)
Media opacity in the amblyopic age group
Low Vn
20/70-20/160 / 20/200-20/400
20/12-20/25 / 20/30-20/60
20/1250-20/2500
Total Blindness
NLP
Visual
The organ
Anatomical changes
changes
Visual disability
handicap
Visual
The person
Functional
Social and
consequences
Visual aids,
equipment
Quality of life
PREVENTION