Siloam Thomas Eye Hospital

Care Compassion Cure

42 Years of Excellence
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Facial laceration with optic nerve injury
Healed facial injury

Ocular Trauma in RTA

World Health Organization (WHO) identified the major causes of Road traffic Accidents as driving over the speed limit, driving under the influence of Drugs and Alcohol, not using helmets and seat belts. RTA is commonly seen in two-wheeler collisions and accidental collision of vehicles on By Standers

A Patient brought with head injury undergoes complete ophthalmic examination with emphasis to bedside visual acuity, ocular movements, testing of the pupillary function and fundus examination

Doctor examining trauma patient

Ocular Trauma

Emergency Intervention

  • Tense PeriOrbital Ecchymoses with raised IOP
  • Globe Rupture
  • Occult Rupture
  • Traumatic Optic Neuropathy
  • Alkali Burns

Non Emergency Management

  • Lid laceration/ Canalicular tear
  • Orbital fractures
  • Periocular ecchymoses/hematoma

A 20 year old boy had a Head on Two Wheeler Collision onto a Bus and sustained a deep mid facial Laceration and optic nerve Injury. Though the Eye Globe was preserved, the patient lost his complete vision in the right eye due to Optic Nerve Injury

Globe rupture

Globe Rupture

causing total loss of vision usually has very poor prognosis

Open Globe Injury

Open Globe Injury (Zone 1)

Cornea and anterior Sclera

Corneal Scleral Tear

Corneo Scleral Tear

successfully sutured with restoration of Vision

Glass Foreign Body in eye Removal of glass foreign body

Glass FB in the Eye identified and removed carefully

Orbital fracture patient CT scan of orbital fracture CT scan of orbital fracture

Blowout Fracture of the Left Orbital floor is repaired along with other associated Orbital Fractures with the help of Oro Facio Maxillary Surgeons.

Chemical burn to eye

Chemical Burn Injury (Alkali)

an Ocular Emergency

  • Thorough Irrigation until pH is neutralised
  • Early Amniotic Membrane Grafting planned
  • Temporary tarsorraphy done if necessary
  • Topical Steroids and lubricants therapy
Safety prevention poster
Safety prevention poster
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