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Look into my seeing EYE ball

THE EYE EXAM Keep it basic… APD Intra-ocular Pressures: Tono-pen v Applanator (Goldmann) Visual Acuity or be a Slit Lamp KWEEN Move outside in: Lids → Eyeball Lids: ducts, eyelashes, orbital lesions or findings EYE: Full EOM assessment and conjunctival assessment Anterior: Cornea for opacity, irregularities, fluericin staining for abrasions/ulcerations. Anterior chamber assessment for “cellRead more

Globe Subluxation

Apologies for the lack of recent pearls. Now that the website is back up and running, we’ll be going back to our regularly scheduled programming. “Hey doc, my eyeball popped out”. It’s a chief complaint that we don’t hear too often in the ED but when it happens, it’s enough to make me sweat aRead more

Eye on the Prize: Can You Perform a Lateral Canthotomy?

When a patient presents with orbital compartment syndrome, performing a lateral canthotomy and cantholysis can be vision-saving. You may only have 60-100 minutes until the patient experiences permanent visual sequelae. Are you ready?   Indications: Indications to perform lateral canthotomy may be remembered with the mnemonic DIP A CONE. They include decreased visual acuity, intraocularRead more

Intermittent Visual Symptoms

57 yo M with PMHx of uncontrolled DM and HTN who presents with 3 weeks of intermittent  visual problems. Patient reports he sees flashes on both left sides of visual fields in both eyes. He is also unable to process 3D spacing and has trouble walking and reading due to vision problems. Episodes of symptomsRead more

Cells and Flare

What is the significance of “cells” and “flare” seen on slit lamp examination?Read more