09-24-2010, 04:35 AM
A 27-year-old white male reports irritation and redness
of his right eye after hammering on an old iron fence.
He was not wearing safety glasses, and the injury
occurred 3 days ago. On exam, his visual acuity is
20/200. His right eye is injected, and his pupil is irregularly
peaked to one side upon gross inspection. Slit
lamp examination reveals a laceration of his cornea
extending to the limbus with a wick of iris occluding
the laceration site
You place a Fox shield on this patient and contact the
ophthalmologist, who requests a tetanus booster and
antibiotics.
What would be the next step in the evaluation
and treatment of this patient?
A) Imaging for an intraocular foreign body by orbital
CT scanning.
B) Evaluation for an intraocular foreign body by
orbital ultrasound.
C) Try to remove the foreign body from the posterior
chamber with a magnet.
D) Complete ocular examination, including intraocular
pressure and dilated funduscopic examination.
of his right eye after hammering on an old iron fence.
He was not wearing safety glasses, and the injury
occurred 3 days ago. On exam, his visual acuity is
20/200. His right eye is injected, and his pupil is irregularly
peaked to one side upon gross inspection. Slit
lamp examination reveals a laceration of his cornea
extending to the limbus with a wick of iris occluding
the laceration site
You place a Fox shield on this patient and contact the
ophthalmologist, who requests a tetanus booster and
antibiotics.
What would be the next step in the evaluation
and treatment of this patient?
A) Imaging for an intraocular foreign body by orbital
CT scanning.
B) Evaluation for an intraocular foreign body by
orbital ultrasound.
C) Try to remove the foreign body from the posterior
chamber with a magnet.
D) Complete ocular examination, including intraocular
pressure and dilated funduscopic examination.