Traumatic mydriasis: Difference between revisions
No edit summary |
ClaireLewis (talk | contribs) No edit summary |
||
| Line 11: | Line 11: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Physiological | *Physiological Anisocoria | ||
*Intracranial Injury | *[[TBI|Intracranial Injury]] | ||
*Congenital | *Congenital eye defects | ||
*Drugs and | *[[toxicity|Drugs]] and toxins | ||
*Third | *[[Third nerve palsy]] | ||
*Pharmacologic | *Pharmacologic mydriasis | ||
==Evaluation== | ==Evaluation== | ||
* | *Clinical; rule out intracranial injury | ||
==Management== | ==Management== | ||
*No specific ED management | |||
==Disposition== | ==Disposition== | ||
*If no other injuries/pathology, discharge with optho follow up | |||
==See Also== | ==See Also== | ||
| Line 42: | Line 38: | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Trauma]] | |||
Revision as of 22:01, 6 October 2019
Background
- Pupillary dilation due to blunt eye trauma
- Pupil is poorly reactive to light in both direct and consensual light exposure
- Occurs due to small tears in the ciliary muscles
- May be transient or permanent
- No specific ED management, but requires ophthalmology follow up
- Diagnosis of exclusion!
Clinical Features
Differential Diagnosis
- Physiological Anisocoria
- Intracranial Injury
- Congenital eye defects
- Drugs and toxins
- Third nerve palsy
- Pharmacologic mydriasis
Evaluation
- Clinical; rule out intracranial injury
Management
- No specific ED management
Disposition
- If no other injuries/pathology, discharge with optho follow up