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    The Handbook of Ophthalmic Emergencies
    The Handbook of Ophthalmic Emergencies
    The Handbook of Ophthalmic Emergencies
    Ebook111 pages45 minutes

    The Handbook of Ophthalmic Emergencies

    By Gerard Jayamanne

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    About this ebook

    The Handbook of Ophthalmic Emergencies describes most of the common ophthalmic emergencies healthcare professionals will experience in clinical practice. The book is for all healthcare professionals who deal with patients with ophthalmic problems including Accident and Emergency doctors, General Practitioners, Optometrists, Orthoptists, Nurse Practitioners and Medical Students.
    This book is designed to provide a simple guide to the differential diagnosis and management of common ophthalmic emergencies.

    LanguageEnglish
    PublisherGerard Jayamanne
    Release dateAug 4, 2011
    ISBN9780954436520
    The Handbook of Ophthalmic Emergencies
    Author

    Gerard Jayamanne

    I am Dr Gerry Jayamanne, a Consultant Eye Surgeon in the United Kingdom. I graduated in Medicine at Newcastle University, England. I am a fellow of the Royal College of Ophthalmologist, London. I have over 19 years of hospital eye care experience. I am a contributing author of ophthalmic textbooks and publications.

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      Book preview

      The Handbook of Ophthalmic Emergencies - Gerard Jayamanne

      PREFACE

      Non-ophthalmic trained medical practitioners and healthcare professionals demonstrate a high level of anxiety about the management of ophthalmic disease. Accurate diagnosis of ocular disease is important prior to treatment. A systemic approach to the examination of the eye is vital.

      Dr Gerard Jayamanne is a contributing author of ophthalmic textbooks and is a consultant ophthalmic surgeon in the UK. The Handbook of Ophthalmic Emergencies describes most of the common ophthalmic emergencies healthcare professionals will experience in clinical practice.

      CONTENTS

      Preface

      Introduction

      Anatomy of the eye

      Ocular examination

      Differential diagnosis of ocular symptoms

      Differential diagnosis of ocular signs

      Trauma

      Eyelid lacerations

      Peri-orbital haematoma

      Orbital blow-out fracture

      Conjunctival laceration

      Conjunctival foreign body

      Corneal foreign body

      Corneal abrasion

      Flashburn (Welder’s arc eye)

      Chemical burn

      Hyphaema

      Traumatic optic neuropathy

      Ruptured globe / penetrating ocular injury

      Eyelids and Orbits

      Orbital cellulitis

      Peri-orbital cellulitis

      Blepharitis

      Hordeolum (stye)

      Chalazion

      Trichiasis

      Entropion

      Ectropion

      Dacryocystitis

      Herpes Zoster Ophthalmicus (ophthalmic shingles)

      The Painful Red Eye

      Conjunctiva / Sclera

      Allergic conjunctivitis

      Acute microbial conjunctivitis

      Ophthalmia neonatorum

      Episcleritis

      Scleritis

      Subconjunctival haemorrhage

      Cornea

      Microbial keratitis

      Contact lens related keratitis

      Marginal keratitis

      Herpes simplex keratitis

      Exposure keratopathy

      Acute glaucoma

      Acute anterior uveitis (Iritis / Iridocyclitis)

      Sudden Loss of Vision in a Quiet Eye

      Central retinal artery occlusion

      Central retinal vein occlusion

      Vitreous haemorrhage

      Retinal detachment

      Age-related macular degeneration

      Posterior uveitis

      Anterior ischaemic optic neuropathy

      Optic / retrobulbar neuritis

      Neuro-ophthalmology

      Diplopia -Isolated 3rd nerve palsy

      4th nerve palsy

      6th nerve palsy

      Anisocoria

      Amaurosis fugax

      Headaches and the eye

      INTRODUCTION

      Ophthalmic emergencies can be categorised into traumatic and non-traumatic, and further subdivided by considering whether the eye is painful, red or has reduced visual acuity. The red eye, although occasionally a feature of minor ocular disease, often indicates serious injury or disease. A rational and methodical examination of the eye will assist with differential diagnosis and aid management.

      EXAMINATION

      Visual acuity MUST always be recorded, one eye at a time, with the other eye occluded. This should be measured by reading a Snellen chart at a distance of 6 metres or a logMAR chart. Patients must wear their distance glasses. However, if the glasses have been left at home or the patients are unable to read the 6/6 line accurately, a pinhole vision ought

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