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2. Examine for signs of hyperthyroidism (see p. 53). Pitfalls ■ ■ bilateral conjunctival chemosis in dysthyroid eye disease may be attributed to conjunctivitis or an allergic response optic nerve compression resulting in an afferent pupil defect (see p. 7) can lead to permanent visual loss if not promptly and appropriately treated. WELDING, GRINDING AND FLASH BURN INJURIES Features ■ commonly bilateral and recurrent. Management 1. 0% to allow examination. 2. Instill fluorescein and look under a blue light for abrasions and foreign bodies (FB) (see p.

30a Entropion – the whole lower lid has rolled in towards the eye. The lashes abrade both the cornea and conjunctiva. 33 34 Eye Emergencies Fig. 30b Lashes abrading corneal surface Punctuate staining of cornea Steristrips pulling lower lid down Fold of redundant skin Entropion – Steristrips or tape are a useful temporary measure. 3. If no entropion is present identify and epilate (pull out) the offending lashes. 4. If entropion is present – use Steristrips to pull the lower lid off the globe (Fig.

CONTACT LENS WEAR RELATED Features ■ ■ usually related to overwear or failure to rinse adequately after chemically cleaning acute allergic response to soft lenses may occur after many trouble-free years. Management 1. 0% to allow examination if required. 2. Fluorescein will stain soft lenses – advise patient, and use to help locate lens if lost (see p. 36). 3. Once lenses have been removed look for abrasions, ulcers, or diffuse staining indicating overwear (often as a result of sleeping with lenses in) or chemical injury due to lens cleaning solution.

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A Large Low-Pressure AHTR [sm article]


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