Conjunctival laceration: Difference between revisions
(Text replacement - "r/o" to "rule out") |
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==Background== | ==Background== | ||
*From penetrating injury to the ocular surface | *From penetrating [[ocular injury|injury]] to the ocular surface | ||
==Clinical Features== | ==Clinical Features== | ||
* | *Conjunctivae have less innervation than cornea so far less symptomatic | ||
* | *Full-thickness defect in the conjunctiva | ||
*[[Red eye|Chemosis]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*[[Eye Exam]] | *[[Eye Exam]] | ||
** | **Confirm negative seidel's sign (rule out globe rupture) and no traumatic hyphema | ||
*CT orbit | *CT orbit | ||
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**Not associated with any other serious intraorbital or ocular injury | **Not associated with any other serious intraorbital or ocular injury | ||
**Small (<1 cm) | **Small (<1 cm) | ||
*Erythromycin ophthalmic ointment and ophtho | *[[Erythromycin]] ophthalmic ointment and ophtho referral | ||
===Complex=== | ===Complex=== | ||
*Discuss with | *Discuss with ophthalmology | ||
==Disposition== | ==Disposition== | ||
Revision as of 16:24, 5 October 2019
Background
- From penetrating injury to the ocular surface
Clinical Features
- Conjunctivae have less innervation than cornea so far less symptomatic
- Full-thickness defect in the conjunctiva
- Chemosis
Differential Diagnosis
Unilateral red eye
- Nontraumatic
- Acute angle-closure glaucoma^
- Anterior uveitis
- Conjunctivitis
- Corneal erosion
- Corneal ulcer^
- Endophthalmitis^
- Episcleritis
- Herpes zoster ophthalmicus
- Inflamed pinguecula
- Inflamed pterygium
- Keratoconjunctivitis
- Keratoconus
- Nontraumatic iritis
- Scleritis^
- Subconjunctival hemorrhage
- Orbital trauma
- Caustic keratoconjunctivitis^^
- Corneal abrasion, Corneal laceration
- Conjunctival hemorrhage
- Conjunctival laceration
- Globe rupture^
- Hemorrhagic chemosis
- Lens dislocation
- Ocular foreign body
- Posterior vitreous detachment
- Retinal detachment
- Retrobulbar hemorrhage
- Traumatic hyphema
- Traumatic iritis
- Traumatic mydriasis
- Traumatic optic neuropathy
- Vitreous detachment
- Vitreous hemorrhage
- Ultraviolet keratitis
^Emergent diagnoses ^^Critical diagnoses
Evaluation
- Eye Exam
- Confirm negative seidel's sign (rule out globe rupture) and no traumatic hyphema
- CT orbit
Management
Simple
- All of the following:
- Superficial
- Not associated with any other serious intraorbital or ocular injury
- Small (<1 cm)
- Erythromycin ophthalmic ointment and ophtho referral
Complex
- Discuss with ophthalmology
Disposition
- Simple: Outpatient
- Complex: Discuss with ophtho