Citation

Heath Jeffery RC, Chen FK, Dobes J. Aust. J. Gen. Pract. 2022; 51(7): 476-482.

Copyright

(Copyright © 2022, Royal Australian College of General Practitioners)

DOI

10.31128/AJGP-03-21-5921

PMID

35773155

Abstract

BACKGROUND: Ocular trauma may result in pathology of the ocular surface and adnexa, extraocular muscles, orbital walls, eye and optic nerve. Detailed history followed by a complete ocular and, if indicated, radiological examination is therefore a crucial part of any trauma assessment. It is important to determine whether a patient with ocular trauma can be reassured or requires immediate referral for further investigation and surgical repair.

OBJECTIVE: This review examines chemical eye injuries, orbital fractures, superficial corneal foreign bodies, closed globe injury and suspected open globe injury with or without intra-ocular foreign bodies. A structured approach to the history and examination is provided. The aim of this article is to enhance clinician confidence when encountering these patients.

DISCUSSION: Ocular trauma can lead to serious sight‑ and eye-threatening consequences. Accurate history-taking and astute observation are paramount for timely treatment or referral that may prevent blindness. This review discusses the management and referral pathways for common presentations of ocular trauma.

Language: en