Eye Alignment Clinic / Children's Eye Centre Eye Screening Packages
Caring for patients with eye injuries, neoplastic growth of the eye. Lecturer: Lilya Ostrovska.
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Transcript of Caring for patients with eye injuries, neoplastic growth of the eye. Lecturer: Lilya Ostrovska.
Blunt Trauma Mild – moderate
“bruise” ocular tissues Eye wall intact
Moderate – severe Rupture eye wall Very severe consequences
Diagnosis cont. Exam – Pry lids apart!
Cornea clear? Pupil round? Pupil black? Blood clotted behind cornea?
Foreign Body Treatment Anesthetize eye Remove FB
Cotton swab (don’t worsen abrasion!) Kimura spatula +/- needle tip
E-mycin and +/- patch 1-2 day follow-up with eye doc
Chemical Treatment IRRIGATE Check pH Minor
E-mycin ointment 1 day follow-up eye doc
Major Same day eval by eye doc
Traumatic Iritis Moderate blunt injury Photophobia Lid bruising/edema Subconj heme or injection Pupil sluggish Eval by eye doc
OSSN Ocular surface squamous neoplasia Encompasses conjunctival/corneal intraepithelial neoplasia
(CIN)
Squamous conjunctival dysplasia Carcinoma in situ Invasive squamous cell carcinoma (SCC)
Conjunctival melanoma Primary aquired conjunctival melanosis (PAM) Preexisting conjunctival naevus De novo
Rx Conjunctival SCC / Melanoma
Excision / cryotherapy to cut conjunctival margin Topical Mitomycin C Episcleral plaque radiotherapy if recurrence
• Symptoms• Thickness > 2mm• Orange pigment (lipofuscin)• Growth• Subretinal fluid• Peripapillary location
Uveal melanoma treatment Observation TTT Local resection Radioactive plaque therapy
Thickness < 8mmBase <15mm
Uveal melanoma treatment Observation TTT Local resection Radioactive plaque therapy Proton beam/helium ion irradiation Gamma knife therapy
Uveal melanoma treatment Observation TTT Local resection Radioactive plaque therapy Proton beam/helium ion irradiation Gamma knife therapy Enucleation
Base > 15mm
Metastatic tumoursBreast / lung carcinoma
AmelanoticMultifocalChoroidal
Treat only if sight affected