Corneal foreign body - Revision history

Rossdonaldson1: Redirected page to Ocular foreign body

2017-03-30T12:56:36Z

← Older revision		Revision as of 12:56, 30 March 2017
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	~~==Background==~~		#REDIRECT[[Ocular foreign body]]
	*Must rule-out intraocular foreign body and corneal laceration

	~~==Clinical Features==~~
	~~[[File:Foreign body in eye.jpg\|thumb\|A small piece of iron lodged near corneal margin.]]~~
	*Foreign body sensation
	*Photophobia (+/- consensual)
	*Decreased vision
	*Relief of pain with topical anesthesia

	~~==Differential Diagnosis==~~
	~~{{Unilateral red eye DDX}}~~

	~~==Evaluation==~~
	*Evaulate for penetrating injury
	*Should have negative Seidel sign (no streaming of fluorescein out of eye)
	*Intraocular foreign body?
	**If concern for foreign body but none visualized on external exam consider CT orbit

	~~==Management==~~
	~~===Foreign Body Removal===~~
	*Anesthetize eye
	**Irrigate with NS
	*Moistened cotton swab
	*30- to 25-gauge needle under [[slit lamp]]
	**Approach from tangential angle
	**Repeat Seidel test to ensure removal did not perforate cornea
	**Irrigate eye profusely post-removal

	~~===Rust Rings===~~
	*Not necessary to remove in the ED; refer to ophtho for definitive removal

	~~===Prophylactic Antibiotics===~~
	~~{{Corneal Abrasion Antibiotics}}~~

	~~==Disposition==~~
	*Ophtho follow up in 48h for routine cases
	*Ophtho follow up in 24h for rust ring removal

	~~==See Also==~~
	*[[Ocular foreign body]]
	*[[Corneal abrasion]]
	*[[Eye Algorithms (Main)]]
	*[[Corneal Ulcer]]
	*[[Conjunctival Abrasion]]
	*[[Foreign bodies]]

	~~==References==~~
	~~[[Category:Ophthalmology~~]]

2017-03-30T12:37:51Z

Foreign Body Removal

← Older revision		Revision as of 12:37, 30 March 2017
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	**Irrigate with NS		**Irrigate with NS
	*Moistened cotton swab		*Moistened cotton swab
	*~~25G~~ needle		*30- to 25-gauge needle under [[slit lamp]]
	**Approach from tangential angle		**Approach from tangential angle
			**Repeat Seidel test to ensure removal did not perforate cornea
			**Irrigate eye profusely post-removal

	===Rust Rings===		===Rust Rings===

2017-03-30T11:33:46Z

2016-07-21T20:29:51Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 20:29, 21 July 2016
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	{{Unilateral red eye DDX}}		{{Unilateral red eye DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Evaulate for penetrating injury		*Evaulate for penetrating injury
	*Should have negative Seidel sign (no streaming of fluorescein out of eye)		*Should have negative Seidel sign (no streaming of fluorescein out of eye)

2016-07-12T15:27:39Z

Text replacement - "f/u" to "follow up"

← Older revision		Revision as of 15:27, 12 July 2016
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	==Disposition==		==Disposition==
	*Ophtho ~~f/u~~ in 48h for routine cases		*Ophtho follow up in 48h for routine cases
	*Ophtho ~~f/u~~ in 24h for rust ring removal		*Ophtho follow up in 24h for rust ring removal

	==See Also==		==See Also==

2016-07-08T17:17:00Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 17:17, 8 July 2016
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	**If concern for foreign body but none visualized on external exam consider CT orbit		**If concern for foreign body but none visualized on external exam consider CT orbit

	==~~Treatment~~==		==Management==
	===Foreign Body Removal===		===Foreign Body Removal===
	*Anesthetize eye		*Anesthetize eye

2016-03-22T15:43:39Z

Text replacement - "Category:Ophtho" to "Category:Ophthalmology"

2015-11-08T14:30:48Z

Clinical Features

← Older revision		Revision as of 14:30, 8 November 2015
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	==Clinical Features==		==Clinical Features==
			[[File:Foreign body in eye.jpg\|thumb\|A small piece of iron lodged near corneal margin.]]
	*Foreign body sensation		*Foreign body sensation
	*Photophobia (+/- consensual)		*Photophobia (+/- consensual)

2015-08-31T22:58:35Z

← Older revision		Revision as of 22:58, 31 August 2015
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	*Ophtho f/u in 48h for routine cases		*Ophtho f/u in 48h for routine cases
	*Ophtho f/u in 24h for rust ring removal		*Ophtho f/u in 24h for rust ring removal

	~~==Source==~~

	==See Also==		==See Also==
Line 44:		Line 42:
	*[[Foreign bodies]]		*[[Foreign bodies]]

			==References==
	[[Category:Ophtho]]		[[Category:Ophtho]]

2015-05-24T13:40:32Z

← Older revision		Revision as of 13:40, 24 May 2015
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	==Clinical Features==		==Clinical Features==
	#Foreign body sensation		*Foreign body sensation
	#Photophobia (+/- consensual)		*Photophobia (+/- consensual)
	#Decreased vision		*Decreased vision
	#Relief of pain with topical anesthesia		*Relief of pain with topical anesthesia

			==Differential Diagnosis==
			{{Unilateral red eye DDX}}

	==Diagnosis==		==Diagnosis==
Line 13:		Line 16:
	*Intraocular foreign body?		*Intraocular foreign body?
	**If concern for foreign body but none visualized on external exam consider CT orbit		**If concern for foreign body but none visualized on external exam consider CT orbit

	~~==Differential Diagnosis==~~
	~~{{Unilateral red eye DDX}}~~

	==Treatment==		==Treatment==
	===Foreign Body Removal===		===Foreign Body Removal===
	#Anesthetize eye		*Anesthetize eye
	##Irrigate with NS		**Irrigate with NS
	#Moistened cotton swab		*Moistened cotton swab
	#25G needle		*25G needle
	##Approach from tangential angle		**Approach from tangential angle

	===Rust Rings===		===Rust Rings===
Line 32:		Line 32:

	==Disposition==		==Disposition==
	#Ophtho f/u in 48h for routine cases		*Ophtho f/u in 48h for routine cases
	#Ophtho f/u in 24h for rust ring removal		*Ophtho f/u in 24h for rust ring removal

	==Source==		==Source==