If a standard visual acuity chart is unavailable, use a near chart or even your fingers (see Chap. 1.8)

External inspection

Using a penlight, compare the two eyes2 and note all major abnormalities. A shallow AC may be easier to diagnose this way than with a slit lamp where simultaneous visualization of the two eyes (comparison) is not possible

Table 2.11.2 (continued) Management issues in eyes with open globe injury.



Slit lamp

Never put pressure on the eye when separating the lids; if the lids are impossible to open because of hemorrhage, delay the examination and keep an icepack over the lids to expedite the resolution of the blood and edema

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