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Red flags in ocular emergencies for optometrists

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Complete the paragraph with the correct word according to your ocular emergencies knowledge.

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Nohora Beatriz Celis Duarte
Nohora Beatriz Celis Duarte
Colombia

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Red flags in ocular emergencies for optometrists

Complete the paragraph with the correct word according to your ocular emergencies knowledge.

Nohora Beatriz Celis Duarte
1

knowledge alarm eyecare

Optometrists working in practice hold such an important role in the overall system because we have the to highlight some of the ocular emergencies , conditions , and problems that patients may present with so that these will instantly sound an bell in our clinical brain .

2

direct urgent first obvious severe

In optometry practice , we are open to just about every condition walking through the doors , and patients seek our opinion as the first port of call . There are some ocular emergencies that don ? t occur often , for example , angle closure glaucoma , as these patients are in pain , are unwell generally so they make a line to hospital departments , but there are plenty of conditions where optometry practice is the point of contact .

3

notice implications gradual posterior segment sudden

There are several key scenarios to be aware of , which should raise a red - flag when they present :
? Loss of vision . Most patients with reduced vision tend to be changes , due to conditions such as cataract or AMD . Any patient with a or severe loss of vision should be viewed with suspicion and the cause investigated thoroughly . Causes can be varied , usually pertaining to the ? anterior ischaemic optic neuropathy , a venous or arterial occlusion , retinal detachment , and the list goes on . You will that a number of these conditions have not just for the vision of the eye , but also the patients ? general health .

4

myope on still sight onset Time

? Flashing lights and floaters : Any of flashing lights , floaters with a shadow in the vision , particularly in a , must be treated as a retinal detachment until proven otherwise . is of the essence with getting these referred out , particularly if the macula is , as the patient stands a good chance of the being saved with surgical intervention .

5

within skill cornea superficial serious inflammatory measuring referral scratches minor

? Red / painful eyes ? we see a lot of red eyes which are conditions and can be managed in practice , such as blepharitis and some forms of conjunctivitis . The here is in detecting the cases when there may something more at play . Symptoms such as a pain or ache the eye , rather than discomfort and photophobia might point towards an cause which might need a . You need to develop a routine for assessing red eyes , which should include checking the anterior chamber for cells and flare , intraocular pressure ( IOP ) , checking under the eyelids , and staining the to evidence the presence of or ulcers that put at risk the health of this tissue .

6

rule deep saline body foreign devastating out solution

? Injury ? a lot of these can bypass optometry practice but we do get foreign bodies , abrasions , and occasionally chemical injuries . With chemical injuries ? you must an alkali burn which can be to the eye ? if this is the case , lots of irrigation with as a first aid measure before getting the patient to the ophthalmologist . Some practitioners are comfortable with removal , but don't do anything which isn ? t within your remit ? anything which is in the cornea needs ophthalmology attention due to the risk of corneal perforation .

7

diplopia appearance underlying finding

? Other symptoms - there are a host of other symptoms which can present and may be due to a serious cause . Sudden onset of , particularly in young and otherwise healthy patients needs to be investigated . Headaches can be from a variety of sources and causes but always think of checking the optic nerve and function , to rule out a serious such as papilledema .

8

arise highlights description

These are just designed to get you thinking about some of the scenarios which can . There is no way in the scope of a short article a detailed of all possible ocular emergencies can be given , but hopefully , this some of the most common ones .

9

history diagnose developing beyond appropriate require advice seek

When you are your skills and experiences as an optometrist , don't be afraid to chat with colleagues when cases arise which you don't feel comfortable with . Get their or call your ophthalmology department and their expertise . We are not expected to every condition that comes our way , as some conditions are rare other investigations which are our knowledge , but our role is to be thorough as clinicians , in taking a good and applying the clinical tests . When you do see interesting pathology , there is no better learning experience . It is always good to take the opportunity to have a read around the topic when the condition arises .

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