This guideline last updated 06/05/2022 17:42:29

Differential diagnosis

• Non-penetrating (blunt) trauma
• Chemical trauma

Possible management by Optometrist

Treatment

• Do not touch eye
• Check VA (important even if pain and swollen lids make that difficult)
• Topical anaesthetic (to aid examination)
• Protect eye by taping over it a rigid plastic shield

Advice

• Advise patient not to touch the eye and try not to cough or strain
• Advise patient to take nil by mouth
  • To assist swallowing of tablets, a small amount of water is permissible

Management Category

• Immediate referral

Possible management by Ophthalmologist

• Surgical management of penetrating injury