This guideline last updated 06/05/2022 17:51:51
Sclera/Episclera
Penetrating Injury, Sclera/Episclera
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 to not 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