UMEM Educational Pearls

Title: Identify this eye exam finding.

Category: Ophthamology

Keywords: Optho. (PubMed Search)

Posted: 6/16/2023 by Robert Flint, MD (Updated: 6/29/2023)
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Question

 

What is this called? What does it indicate? Treatment?

Answer

Tear Drop pupil. Globe rupture/corneal laceration. Protect the eye with a commercially available shield (Fox, etc) or if none is available use a paper/sytroform cup that can be cut to length to allow taping in place. Start IV antibiotics and emergency opthamology referal. 

References

1. https://www.jems.com/patient-care/traumatic-eye-injury-management-principl-0/

2. https://eyesoneyecare.com/resources/ophthalmic-emergencies-open-globe-injuries/