3.17 Penetrating Injury, Conjunctiva
- eyes.nhs.scot/
- Eyecare Guidelines/
- Section 3 - Conjunctiva/
- 3.17 Penetrating Injury, Conjunctiva
- 3.1 Chemical Injury, Conjunctival
- 3.2 Foreign Body, Conjunctival
- 3.3 Papilloma, Conjunctival
- 3.4 Conjuctivitis, Acute Allergic
- 3.5 Conjunctivitis, Bacterial
- 3.6 Conjunctivitis, Chlamydial, Adult Inclusion Conjunctivitis
- 3.7 Conjunctivitis, Contact Lens-Associated Papillary, Giant Papillary
- 3.8 Conjunctivitis Medicamentosa/Dermatoconjunctivitis Medicamentosa
- 3.9 Conjunctivitis, Ophthalmia Neonatorum
- 3.10 Conjunctivitis, Seasonal Allergic/Hay Fever, Perennial Allergic
- 3.11 Pigmented Lesions, Conjunctival
- 3.12 Scarring, Conjunctival
- 3.13 Conjunctivitis, Viral, Non-Herpetic
- 3.14 Keratoconjunctivitis, Atopic
- 3.15 Keratoconjunctivitis, Vernal (Spring Catarrh)
- 3.16 Pinguecula
- 3.17 Penetrating Injury, Conjunctiva
- 3.18 Pterygium
- 3.19 Sub-Conjunctival Haemorrhage
- 3.20 Foreign Body, Sub-Tarsal
Date of last review: Due to be updated
Differential diagnosis
- Non-penetrating (blunt) trauma
- Chemical trauma
Possible management by Optometrist
Treatment
- Do not touch eye
- Check VA (important even if pain and swollen lids make that difficult)
- Topical anaesthetic (to aid examination)
- Protect eye by taping over it a rigid plastic shield
Advice
- Advise patient not to touch the eye and try not to cough or strain
- Advise patient to take nil by mouth
- To assist swallowing of tablets, a small amount of water is permissible
Management Category
- Immediate referral
Possible management by Ophthalmologist
- Surgical management of penetrating injury
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