From the Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, TN (RYO, SCD, BMJ, BTF).
J Am Board Fam Med. 2021 Sep-Oct;34(5):1018-1029. doi: 10.3122/jabfm.2021.05.210121.
Eye trauma is frequently seen by non-ophthalmology providers. This article elucidates a methodological approach to eye trauma. The first step is to address any life-threatening conditions. Then a focused history and exam is discussed, starting externally. Then, key history, physical, pathophysiology, and basic management of common, serious eye injuries are discussed: chemical injury, orbital fractures, open globe, traumatic hyphema, retinal detachment, traumatic optic neuropathy, and eyelid laceration. Finally, we highlight the practicality of telemedicine for areas where ophthalmology coverage is lacking.
眼部创伤经常由非眼科医生接诊。本文阐述了眼部创伤的一种处理方法。首先，要处理任何危及生命的情况。然后讨论了针对性的病史采集和检查，从外部开始。接下来，讨论了常见严重眼部损伤的关键病史、体格检查、病理生理学和基本处理方法：化学伤、眼眶骨折、眼球开放性损伤、外伤性前房积血、视网膜脱离、创伤性视神经病变和眼睑裂伤。最后，我们强调了在眼科覆盖不足的地区开展远程医疗的实用性。
