Emergency Case

Hits By a cow , Accident Case Chief Complaints Hit by cow , bkurring of vision, pain and bleeding from left eye. History visual acuity no light perception, Vitals Normal Physical Examination Sweeping left orbit Diagnosis left eye injury with optic nerve damaged

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Hit by cow anterior luxation of eye ball, pressure of lids behind equator As there is no perception of light eye is not functional ,as there is injury to optic nerve Evident from photographe eye has been placed in the orbit and lids reconstructed Now main aim is control of infection with Injection purezone 1 gm iv 12 hourly , injection TT and ibubrufen 600mg bd C-ray orbit for fracture , CT orbit for globe integrity and retrobulbar hematoma Let the patient settle as the infection and inflamation are controlled can decide for globe weather to do enucleation to safe guard from sympathetic ophthalmia and replace with prosthetic in future

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@Jagruti Muda @Srujana D @Sk Gupta @Dr. Alok Niranjan @Manoj Maurya @Kumar Himanshu @Dr. Kunal Kaushal @Dr. Seema Shukla @Dr. Kute Ankush @Vijay Gupta @Dr. Mrinal Kantil Pal @@Simran Dhanjal

Alleged HISTORY OF HIT BY COW LEFT EYE ON EXAMINATION MARKED SWOLLEN EYE FROSS ODEMA BOTH LIDS PROPTODI ONE WOULD SUSPECT RUPTURE GLOBE SUCH PT NEEDS ADMISSION AND EXPLIRE THE EYE BALL UNDER ANASTHESIA AND LOOK FOR TGE STATE OF O VUKAR TRAUMA AND DO THE NEEDGUL IN SUCH A EYE HOW CAN ONE CAN MAKE DX OF OPTIC NERVE DSMAGE WHEN EXAMINATION OF FUNDUS IS NOT POSSIBLE ALSO DO CT SCAN ORBITS AND ALSO RULE OUT BLOW OUT ORBITAL FRACTURE

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HORRIBLE.. ACCIDENTAL EYE INJURY.. NEED'S.. CTCE STUDY TO R/O.. NEUROVASCULAR.. BONE.. AND.. EYEBALL INJURIES.. WITH..EXPERTS OPINION..& SURGICAL INTERVENTION..

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Pl get his ct scan done to rule out intracerebral bleed.whole lt eye ball.has evolved out.needs urgent surgical intervention to save the eye

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Very very unfortunate ! Only evisceration of the affected eye can save the fellow eye from sympathetic ophthalmitis

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SUGGESTIVE. OF TRAUMATIC OPTIC NEUROPATHY. ....IRREVERSIBLE..

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Optic nerve damaged Informative post Thanks for sharing

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