![]() It is an essential component of the assessment of all patients with an eye problem presenting to the ED. Visual acuity is a simple and useful measure of the ability of the eye to resolve fine detail. Activities associated with high velocity fragments hitting the eye include angle grinding and use of a metal chisel with a hammer. Significant blunt injury to the eye often occurs in association with assaults and in sporting situations from direct impact by a ball. It is important to attempt to differentiate blunt from high velocity or potentially penetrating trauma. joint pains suggests generalised inflammatory disorderĪlthough it is tempting to try and differentiate between viral and bacterial conjunctivitis based on the history alone, no reliably accurate method exists. Contact lens wear corneal ulceration is more common.Severe deep pain seen in acute glaucoma, anterior uveitis.Contact with others with similar symptoms likely to be viral conjunctivitis.Some important features to elicit from the history include floaters due to opacities in the vitreous which may be normal but a sudden increase may be found in retinal detachment.flashes usually due to retinal ischaemia.a curtain coming down across the vision a typical description of a retinal detachment.quadrantopia, hemianopia or central scotoma a loss of part of the visual field e.g.Partial loss of vision must be differentiated between If the disturbance is partial, what form did it take?. ![]()
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