VisionSource! - North America's Premier Network of Private Practice Optometrists
North America's Premier Network of Private Practice Optometrists

Ocular Trauma

 

Biomicroscopy

 

 

Examination

 

Eye injuries can occur at any time. Eye injuries are not limited to worksite accidents but may occur in and around the home as well. Our office is equipped to handle many eye injuries. The primary instrument we use to evaluate eye injuries is the biomicroscope, sometimes referred to as a slit lamp. The biomicroscope provides high magnification and illumination to aid in evaluating the nature and extent of the eye injury.

 

 

 

 

Corneal foreign body

Embedded Foreign Bodies

 

A common injury at work and in the home workshop is a foreign body embedded in the cornea, the clear outer dome of the eye. Small, high velocity particles striking the eye can embed in the cornea resulting in extreme pain often accompanied by redness and profuse watering of the eye. Common foreign bodies include small metallic particles from grinding or drilling. If the foreign body contains iron, it will immediately begin to rust and the rust ring as well as the particle will need to be removed. Most corneal foreign bodies can be removed in the office. Because of the depth that the foreign body reached to become embedded, there will be a small residual scar after the particle and/or rust ring are removed. If the resultant scar is centrally located on the visual axis, there may be a reduction in ultimate visual acuity. Safety glasses are always recommended to help prevent this type of injury.

 

 

Chemical Burns of the Eye

 

 
Acid and alkali products splashed into the eye can cause permanent damage. With any chemical splash, the eye needs to be flushed with water even before contacting the office for further instructions. It is important to flush the eye, preferably with clean running water, for at least 15 minutes to remove and dilute the chemical as much as possible. Because of the pain associated with a chemical injury, it may be necessary to hold the eye open with your fingers. If you are wearing contact lenses, flush the eye first, even if still wearing the contact lenses.
 
Acid and alkali burns often happen outside the workplace where a worker might have received instructions for care and have an emergency eyewash station available. Many household cleaners including powdered dishwasher soap, toilet bowl cleaner, and lime are alkali in nature and capable of causing extensive eye damage.
 
 
 

Black Eyes

 

 
Black eye or ecchymosis commonly occurs with trauma to the eye area. While a black eye is essentially a bruise in the eye area, the blow may have damaged other tissues. If you experience pain, loss of vision or double vision after trauma to the eye, seek help immediately. The black eye itself will take about 2 weeks to resolve, turning various colors as the blood resorbs.

 

 

Retinal hemorrhage

Retinal Hemorrhages and Retinal Detachments

 

A compression type of injury can affect the retina, the nerve tissue that lines the back of the eye. The injury can cause retinal hemorrhages that may or may not affect the vision, depending upon the location of the hemorrhages. A severe blow to the eye may also result in a retinal detachment where the retina tears and pulls away from the back of the eye. Symptoms of a retinal detachment include a sudden increase in floaters, flashes of light and/or a curtain or veil coming over the vision. If any ocular trauma is accompanied by these symptoms or a decrease in vision, attention should be sought promptly. Keep in mind that retinal detachments are often due to causes other than trauma to the eye and retinal detachment symptoms demand evaluation.

 

 

Emergency Eye Care

 

Any time you experience a red eye, sudden loss of vision or eye pain, you need to seek help promptly. While these may not be symptoms of a serious eye problem, they may be and it is safest to seek professional help.

 

During our normal business hours, Dr. Saeed may be reached at the office by phoning (260) 432-4060. She may wish to speak with you personally or ask you to schedule an appointment as soon as possible. We always accommodate emergency visits. In some instances, after speaking with you, Dr. Saeed may instruct you to see another medical provider directly without a visit to our office.

 

For medical emergencies, outside of our normal business hours of Monday through Thursday from 8:30 am to 5:30 pm, Dr. Saeed may be reached at (312)731-5794. Calling the regular office phone number will also provide you the option to have your call forwarded to her personal number.

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With a very severe injury, especially one involving any lacerations, proceed to the nearest emergency room.

 

For Ocular Emergencies call
our office 260-432-4060
After business hours, your call will be directed to Dr. Saeed.