Eye Injuries: When to Seek Medical Attention - Ophthalmology

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Regarding eye injuries?


Dr.
Gao accidentally bumped his eye while moving something recently.
Currently, he feels a dull pain in the left eye but has no obvious external injury, no symptoms of blurred vision, or sensitivity to light.
He visited an ophthalmology clinic for a dilated eye exam, and nothing unusual was found.
If there are any symptoms, should he seek immediate medical attention? [Assuming there is hyphema or a ruptured globe, can these be detected using a slit lamp and indirect ophthalmoscope? [after dilation]] Thank you.

Wanfu, 30~39 year old female. Ask Date: 2022/11/07

Dr. Gao Pilin reply Ophthalmology


Hello: If there are changes in your condition, such as changes in vision, changes in visual field, or worsening eye pain, you should seek medical attention.
If there are no changes, you can be reassured.
Anterior chamber bleeding can be detected using a slit lamp examination.
In the case of a ruptured globe, the location of the rupture is important; if the globe is ruptured, it usually indicates a severe injury, and the impact on vision will be significant.

Reply Date: 2022/11/07

More Info


When it comes to eye injuries, understanding when to seek medical attention is crucial for preserving vision and preventing further complications. Based on your description, it seems you experienced a minor injury to your left eye, resulting in a feeling of pressure or discomfort without any visible external trauma or significant changes in vision. However, it’s essential to remain vigilant about any developing symptoms that could indicate a more serious condition.


Symptoms That Require Immediate Medical Attention
1. Severe Pain: If you experience intense pain that does not subside, this could indicate a more serious injury, such as a corneal abrasion or intraocular pressure issues.

2. Vision Changes: Any sudden changes in vision, such as blurriness, double vision, or loss of vision, should prompt an immediate visit to an eye care professional. Even if your vision seems stable now, any new symptoms should be taken seriously.

3. Light Sensitivity: Increased sensitivity to light (photophobia) can be a sign of inflammation or damage to the eye.

4. Redness or Swelling: If you notice significant redness, swelling, or discharge from the eye, these could be signs of infection or other complications.

5. Visible Blood: If you see blood in the eye (hyphema) or if you suspect that the eye may have ruptured, seek emergency care immediately.
6. Persistent Symptoms: If the discomfort or pressure in your eye persists or worsens over time, it’s advisable to consult with an eye care specialist.


Diagnostic Tools
In terms of diagnostic tools, slit-lamp examination and indirect ophthalmoscopy are standard methods used by eye care professionals to assess the condition of the eye. A slit lamp allows the doctor to examine the anterior segment of the eye, including the cornea, iris, and lens, while indirect ophthalmoscopy provides a view of the retina and optic nerve. Both methods can help identify issues such as:
- Corneal Abrasions: Scratches on the surface of the cornea can be detected with a slit lamp.

- Hyphema: Blood in the anterior chamber of the eye can be seen during examination.

- Retinal Detachment: Changes in the retina can be assessed with indirect ophthalmoscopy.


Conclusion
While your current symptoms may not seem alarming, it’s essential to monitor your condition closely. If you experience any of the symptoms mentioned above, do not hesitate to seek medical attention. Eye injuries can sometimes lead to complications that may not be immediately apparent, so erring on the side of caution is always wise.
In the case of a more severe injury, such as a ruptured globe or significant bleeding, immediate medical intervention is critical. If you have any doubts or concerns about your eye health, it is always best to consult with an eye care professional for a thorough examination and appropriate management. Your vision is invaluable, and taking proactive steps can help ensure its protection.

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