Ocular foreign body: Difference between revisions
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==Management== | ==Management== | ||
*Ophthalmology consult for surgical removal emergently | *ED removal for small superficial objects | ||
*Ophthalmology consult for surgical removal emergently for deeply penetrating or larger objects | |||
===Antibiotics=== | ===Antibiotics=== | ||
''Boad-spectrum intravenous therapy prior to surgery'' | ''Boad-spectrum intravenous therapy prior to surgery'' | ||
Revision as of 01:23, 30 December 2015
Background
Clinical Features
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
Diagnosis
Work-up
Evaluation
Management
- ED removal for small superficial objects
- Ophthalmology consult for surgical removal emergently for deeply penetrating or larger objects
Antibiotics
Boad-spectrum intravenous therapy prior to surgery
- Moxifloxacin
- Has the best intraocular penetration
Disposition
- Admission and emergent surgical intervention with Ophthalmology for removal