Deck 56: Corneal Surface Defects and Ocular Surface Foreign Bodies

Question 1

A patient who works in a furniture manufacturing shop reports a sudden onset of severe eye pain while sanding a piece of wood and now has copious tearing, redness, and light sensitivity in the affected eye. On examination, the conjunctiva appears injected, but no foreign body is visualized. What is the practitioner's next step?

A) Administration of antibiotic eye drops
B) Application of topical fluorescein dye
C) Instillation of cycloplegic eye drops
D) Irrigation of the eye with normal saline

Answer 1

B

Question 2

Which patients should be referred immediately to an ophthalmologist after eye injury and initial treatment? (Select all that apply.)

A) A patient who was sprayed by lawn chemicals
B) A patient who works in a metal fabrication shop
C) A patient with a corneal abrasion
D) A patient with a full-thickness corneal laceration
E) A patient with irritation secondary to wood dust

Answer 2

A, B, D