A 36-year-old construction worker is struck in the eye by a metal fragment. He has severe eye pain, irregular pupil, shallow anterior chamber, and

Question

A 36-year-old construction worker is struck in the eye by a metal fragment. He has severe eye pain, irregular pupil, shallow anterior chamber, and decreased visual acuity. There is no CT yet. What is the most appropriate initial management?

Accepted Answer

Rigid eye shield, antiemetic, IV antibiotics, and urgent ophthalmology

Answer

Patch the eye tightly with gauze

Answer

Remove the fragment at the slit lamp

Answer

Irrigate the eye vigorously for 30 minutes

Answer

Measure intraocular pressure with tonometry

Open globe injury — RCPSC EM MCQ

A 36-year-old construction worker is struck in the eye by a metal fragment. He has severe eye pain, irregular pupil, shallow anterior chamber, and decreased visual acuity. There is no CT yet. What is the most appropriate initial management?