
Corneal Foreign Body Removal
Rapid Review
- Background
- Common corneal foreign bodies include metal, glass, plastic, wood, and sand. Must be removed in a timely manner to prevent infection and ocular necrosis
- Indications
- Foreign body in the cornea
- Contraindications
- Intraocular foreign body, hyphema, corneal laceration, multiple foreign bodies
- Complications
- Incomplete removal, conjunctivitis, epithelial injury, corneal perforation.
Pearls

Globe Luxation Reduction
Rapid Review
- Background
- Occurs when the eyelids slip behind the midcoronal plane of the eye in a proptosed eyeball. Orbicularis oculi spasm maintains luxation. Early reduction is required to minimize visual impairment
- Indications
- Spontaneous or traumatic globe luxation
- Contraindications
- No absolute contraindications. Globe rupture is a relative contraindication.
- Complications
- Failure to reduce, retained lashes.
Pearls

Lateral Canthotomy
Rapid Review
- Background
- Lateral canthotomy is the surgical exposure of the lateral canthal tendon, +/- incision of the inferior branch of the tendon (cantholysis), to relieve intraorbital pressure.
- Indications
- Orbital compartment syndrome (w/ acute loss of vision acuity, proptosis, or IOP > 40)
- Contraindications
- Suspected globe rupture
- Complications
- Globe injury, lacrimal gland/artery injury, incomplete cantholysis, bleeding, infection
Pearls

Slit Lamp Exam
Rapid Review
- Background
- Examination of the eye under magnification to identify pathology within the anterior aspect of the eye and help provide treatment for ocular foreign body removals.
- Indications
- Evaluation of red eye complaints
- Suspected corneal foreign body
- Contraindications
- None
- Complications
- None
Pearls

Tonometry
Rapid Review
- Background
- Diagnostic test that measures intraocular pressure.. Early detection of abnormal intraocular pressure can prevent irreversible vision loss
- Indications
- Suspected glaucoma, ocular trauma w/o globe rupture, before/after ophthalmic surgical procedures.
- Contraindications
- Infection, unhealed corneal abrasions/ulcers, ruptured globe
- Complications
- Infection, corneal abrasion, aggravation of ruptured globe.
Pearls
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