Podcast #145: Eye Injuries

acbd2571-f80b-492c-b937-5b9ab347ceb2Run Time: 3 minutes

Author: Jared Scott M.D.

Educational Pearls:

  • Patient profile: sustained blunt trauma to the face. On eye exam the left pupil is eccentric pulled to the side and vertically oriented, and there is a large dark space lateral to the iris.
  • This patient has Iridodialysis: localized separation or tearing away from the iris from the ciliary body.
  • Smaller separations are usually asymptomatic, but larger separations have vision loss, photophobia, and diplopia because light is not entering the pupil normally and additional light is entering the lense from the side of the iris.
  • Iridodialysis usually results from blunt trauma to the face including boxing, airbag deployment, high pressure water jets, etc.
  • Patients with large defects may go to surgery, where the surgeon slides the iris over and sutures it in place w/ 10-0 prolene.
  • Most patients have an associated hyphema – If the hyphema is very large the patient goes to the OR for a wash out.

Link to Podcast: http://medicalminute.madewithopinion.com/eye-injuries/

References: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759894/

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