June 5, 2020 Conference
The on-call ophthalmologist should be uniquely adept at assessing ocular trauma. Physicians must be comfortable with identifying, triaging and knowing when to refer trauma victims for more specialized care. The patient must be evaluated as a whole first to check for life-threatening injuries. Many seemingly isolated eye injuries are associated with occult CNS trauma that can be easily missed. Once the patient has been stabilized medically, there is a core group of diagnoses that must be identified quickly and treated or referred promptly. The exam must be complete and thorough with equal attention paid to the apparently uninjured eye. Having a robust protocol for the evaluation and preparation of open globe patients for the OR is critical for good outcomes. Even patients being transferred to another facility for repair must have an established checklist of items set in motion by the referring physician. With a careful, methodical approach, patients can retain excellent visual function even after devastating injuries.