Eye LabCU School of Medicine

Rural Track

Eye lab agendaEye exam: Ophthobook video http://www.ophthobook.com/videos/ How to put drops or ointments into the eyeTopical anesthesiaConjunctivitisFluorescein stainingHerpes keratitis – Do NOT miss this diagnosis !Corneal abrasions, foreign bodies and rust ringsRemoving corneal FB’s and rust ringsHyphemaHow to patch an eye

The most important part of the eye exam

Topical Anesthesia

Very rapid onset; last about 15 minutes:Proparacaine 0.5% (Ophthaine)Tetracaine 0.5% (Pontocaine)

Avoid long-acting agents because of risk of further injury/ulcerationDo not prescribe any for home use

Eye drops

Not !

Pets too

Conjunctivitis – cornea OK

Conjunctivitis - bilateral

Conjunctivitis - unilateral

Conjunctivitis – lid closeup

Source: Cronau H. et. al. Diagnosis and Management of red eye in Primary Care Am Fam Phys. 2010;81(2):137-144, 145

Fluorescein to examine cornea

Wetting fluorescein strip

Applying fluorescein

Stained eye

Herpes keratitis

Herpes keratitis

Herpes keratitis

Herpes keratitis

Corneal abrasion – no stain

Corneal ulcer - edema

Contact lens ulcer

Source: Wilson SA, Last A. Management of Corneal Abrasions .Am Fam Physician2004;70:123-8,129-30.

Corneal abrasion - stained

Corneal abrasion - stained

Corneal abrasion - stained

Corneal abrasion - stained

Corneal abrasion - stained

Corneal abrasion - stained

Corneal FB

Corneal FB

Corneal FB

Corenal FB with rust ring

Removing corneal FB

Alger Brush

Hyphema

Hyphema

Hyphema

Hyphema

Eye patch application

Eye patch taping

Referenceshttp://www.ophthobook.com http://www.aafp.org/afp search for:

Corneal abrasionsSports eye injuriesWorkplace eye injuriesThe painful red eyeThe painful non-red eyeOcular emergencies