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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


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lunes, 5 de marzo de 2018

Corneal Abrasions

Taming The SRU - March 05, 2018 - By James Li
"The eye is a complicated organ that is not well understood by many new emergency physicians because it historically has not received much attention during medical school. This makes taking care of these patients challenging. However, eye complaints make up approximately 8% of ED visits and so it is something we will see quite often. In this post we will discuss one of the more common etiologies of "eye pain", corneal abrasions. Corneal abrasions account for 45% of eye complaints in the ED and so are a high yield topic to review. We will start by reviewing some of the anatomy, and then delve into the presentation and management of these patients...
  • Corneal abrasions account for 45% of eye complaints in the ED
  • Use fluoroscein to identify abrasions and a slit lamp to complete a thorough exam
  • Although not evidence based, most patients receive topical antibiotics for 3-5 days
  • Topical tetracaine is likely safe for symptomatic control on discharge, but should be prescribed with caution"