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clinical diagnosis differential canthotomy bilateral cantholysis causes management ocular procedure ucsdh video enophthalmos instructions nejm painful painless physicalexam proptosis rupture
Lateral Canthotomy and Cantholysis Primary indications - Decreased visual acuity - Intraocular pressure >
Lateral Canthotomy ... head pallor - Eye ... Contraindications - Globe ... rupture #Lateral ... #Indications #Ophthalmology
Haemolacria and Spontaneous Globe Rupture on Physical Exam One of the most horrendous complications of Dengue hemorrhagic
and Spontaneous Globe ... complications of Dengue hemorrhagic ... Opened both eyes ... to find bilateral ... #rupture #ophthalmology
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 Lateral Canthotomy - Procedure Instructions 1) Identify the lateral canthus. Cleanse the area with antiseptic and anesthetize with
Lateral Canthotomy ... away from the globe ... cut through this ligament ... cantonal ligament ... Instructions #Management #Ophthalmology
Traumatic Iritis High pressure bottle cap to the eye = traumatic iritis + hyphema This patient was
bottle cap to the eye ... struck in the eye ... corneal injury or globe ... Iritis #Clinical #Photo ... #Ophthalmology
Proptosis - Differential Diagnosis - Unilateral vs Bilateral Unilateral: • Infections (can become bilateral with cavernous sinus
Unilateral vs Bilateral ... - Orbital hemorrhage ... • Fevers • Eye ... pain • Eye redness ... #Causes #ophthalmology
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
cellulitis • Globe ... Subconjunctival hemorrhage ... Unilateral or bilateral ... • Globe rupture ... differential #diagnosis #ophthalmology
Differential Diagnosis for Vision Loss Unilateral, Painful Vision Loss: • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
caustic exposure to eye ... detachment or hemorrhage ... caustic exposure to eye ... , Trauma Bilateral ... diagnosis #causes #ophthalmology
Enophthalmos, edematous circumferential subconjunctival hemorrhage and irregularly shaped pupil – all clues to an underlying globe
subconjunctival hemorrhage ... an underlying globe ... rupture #Clinical #Photo ... #Ophthalmology ... #Enophthalmos #Globe
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
colored lights, bilateral ... hypotension - bilateral ... tumors/Occipital lobe ... syneresis • Vitreous hemorrhage ... Diagnosis #Ocular #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm Surface Injury: • Corneal Abrasion • Ultraviolet Keratitis • Chemical
Traumatic Red Eye ... Retrobulbar Fracture Globe ... Subconjunctival hemorrhage ... Retina: Tear, hemorrhage ... Algorithm #Causes #Ophthalmology
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