Treatments for Accidental Eye Injury
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Hospital statistics for Accidental Eye Injury:
These medical statistics relate to hospitals, hospitalization and Accidental Eye Injury:
- 0.027% (3,396) of hospital consultant episodes were for injury of eye and orbit in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 95% of hospital consultant episodes for injury of eye and orbit required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 70% of hospital consultant episodes for injury of eye and orbit were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 30% of hospital consultant episodes for injury of eye and orbit were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 88% of hospital consultant episodes for injury of eye and orbit required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
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Hospitals & Medical Clinics: Accidental Eye Injury
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Book Excerpts: Treatment of Accidental Eye Injury
Treatments of Accidental Eye Injury: Online Medical Books
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for more information about the treatments of Accidental Eye Injury.
Photophobia:
Treatment
(In a Page: Signs and Symptoms)
-
Corneal abrasion: Topical antibiotics with or without cycloplegic agents; NSAIDs; patching may be the preferred treatment, depending on the size of the abrasion and the patient's level of discomfort
-
Bacterial conjunctivitis: Topical antibiotics
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Allergic conjunctivitis: Topical antihistamine/mast cell stabilizers
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Chemical conjunctivitis: Copious irrigation, topical cycloplegics, and topical antibiotics
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Anterior uveitis: Cycloplegic agents, topical steroids, treat secondary glaucoma and underlying disorder
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Migraine: Abortive therapy (triptans), oral pain medication, antiemetics
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Meningitis: IV antibiotics
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Episcleritis: Topical steroids in moderate to severe cases
-
Subarachnoid hemorrhage: Emergent neurosurgical consult
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Red Eye:
Treatment
(In a Page: Signs and Symptoms)
-
Ophthalmologic referral for HSV/herpes zoster keratitis or conjunctivitis, acute angle-closure glaucoma, scleritis, corneal ulcer, iritis, penetrating foreign bodies
-
Avoid treating patients with steroid eyedrops without ophthalmologic consultation
- Conjunctivitis
–Allergic: Avoid offending agents, cold compresses to eyes, NSAIDs, ocular decongestants, antihistamines
–Viral: Self-limited, good hygiene to avoid spread
–Bacterial: Antibiotic eye drops; avoid neomycin,
because allergic reactions are common
-
Subconjunctival hemorrhage: Reassurance, cool compresses, clears spontaneously in 1–2 weeks
-
Chemical eye injury: Immediate copious irrigation with normal saline for at least 30 minutes
-
Preventative measures include proper hygiene and daily cleaning of contact lenses, proper hand-washing techniques before all contact with eyes, eye protection in occupations entailing possible ocular injury
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Eye Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Blocked tear duct: Supportive care with massage and warm compresses; surgical probe or stent may be indicated if stenosis persists beyond 9 months of age
-
Allergic conjunctivitis: Intraocular anti-inflammatory agents, antihistamines, or mast cell stabilizers
-
Viral conjunctivitis: Supportive care for most routine viral infections; herpetic lesions should be referred to an ophthalmologist and must be treated with systemic acyclovir and intraocular steroids
-
Bacterial conjunctivitis: Usual pathogens are susceptible to polysporin/trimethoprim, may also be treated with quinolones; newborn STD pathogens must be treated systemically
-
-
-
Foreign body: Removal may require referral to an ophthalmologist
-
Corneal abrasion: Routine antibiotics and patching are no longer recommended, but may be used in more severe cases
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Scleral Injection (Red Eye):
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Intense topical antibiotics for corneal ulcers
-
Topical antibiotics for bacterial conjunctivitis (sulfa, fluoroquinolones; avoid gentamicin)
-
Consider systemic ceftriaxone if suspect Gonococcus
-
Tears, cool compresses, topical and oral antihistamines for allergic conjunctivitis
-
Frequent handwashing for viral conjunctivitis
-
Oral doxycycline and treatment of partners for chlamydia
-
NSAIDs for epi/scleritis
-
Oral doxycycline, topical Metrogel, warm compresses for rosacea, chalazia, and blepharitis
-
Massage of inner canthus, hot compresses, oral and topical antibiotics for canaliculitis and dacrocystitis
-
Check intraocular pressure if suspect angle closure glaucoma (pressure typically over 40 mmHg)
-
Frequent lubrication for dry eye
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Eye pain:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient's eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to reduce intraocular pressure (IOP). If drug treatment doesn't reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Eye discharge:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Inform patients with bacterial or viral conjunctivitis that these disorders are contagious. Tell those with bacterial conjunctivitis to avoid contact with other people for 24 hours after receiving antibiotic treatment; not to share towels, pillows, or cosmetic eye products; and not to wear contact lenses until the conjunctivitis resolves. Tell patients with allergic conjunctivitis that this type of inflammation isn’t contagious.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Eye pain [Ophthalmalgia]:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient’s eye pain results from a chemical burn, remove contact lenses (if present) and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Eye pain:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes. Prepare him for diagnostic studies, including tonometry and orbital X-rays. Prepare to irrigate the eye, as ordered.
Patient teaching
Tell the patient that it’s important to seek medical help for eye pain and stress the importance of meticulous compliance with drug therapy to prevent an increase in IOP.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Eye discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Inform patients that bacterial and viral conjunctivitis are contagious. Tell those with bacterial conjunctivitis to avoid contact with other people until 24 hours after receiving antibiotic treatment; not to share towels, pillows, or cosmetic eye products; and to stop wearing contact lenses until conjunctivitis resolves. Tell patients with allergic conjunctivitis that this isn’t a contagious type of inflammation.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Eye pain:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient’s eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient needs laser iridotomy or surgical peripheral iridectomy to save vision.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Photophobia:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If photophobia persists at home, suggest that the patient wear dark glasses. Prepare the patient for diagnostic tests, such as corneal scraping and slit-lamp examination.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Eye discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Apply warm soaks to soften crusts on the eyelids and lashes, then gently wipe the eyes with a soft gauze pad.
▪ Carefully dispose of all used dressings, tissues, and cotton swabs to prevent the spread of infection.
Patient teaching
▪ Teach the patient to avoid contaminating the unaffected eye and to refrain from sharing pillows, wash cloths, eyedrops, or eye makeup with others.
▪ Discuss ordered diagnostic tests, including culture and sensitivity studies to identify infectious organisms.
▪ Explain the underlying cause of the patient's eye discharge and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Photophobia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Promote the patient's comfort by darkening the room and telling him to close both eyes. Encourage use of sunglasses.
▪ Prepare the patient for diagnostic tests, such as corneal scraping and slit-lamp examination.
▪ Administer eyedrops and ointments, as ordered.
Patient teaching
▪ Teach the patient how to instill eyedrops or ointments.
▪ Discuss ways to reduce the discomfort of photophobia.
▪ Explain the disorder and treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Eye pain [Ophthalmalgia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes.
▪ Prepare the patient for diagnostic studies, including tonometry and orbital X-rays.
Patient teaching
▪ Stress the importance of following instructions for drug therapy.
▪ Teach the patient about ways to protect the eyes.
▪ Tell that the patient that he should seek medical attention for any eye pain.
▪ Explain the underlying cause of the patient's eye pain and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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