A 45-year-old man is struck in the eye by a metal fragment. Visual acuity is reduced, pupil is peaked, Seidel test is positive, and a teardrop-shaped

Question

A 45-year-old man is struck in the eye by a metal fragment. Visual acuity is reduced, pupil is peaked, Seidel test is positive, and a teardrop-shaped pupil is seen. BP and other trauma survey findings are normal. What is the most appropriate disposition?

Accepted Answer

Shield the eye, give antiemetic and antibiotics, and transfer

Answer

Patch the eye tightly and discharge

Answer

Measure intraocular pressure before referral

Answer

Book optometry review in 48 hours

Answer

Irrigate vigorously and remove protruding tissue

Open globe injury — RCPSC EM MCQ

A 45-year-old man is struck in the eye by a metal fragment. Visual acuity is reduced, pupil is peaked, Seidel test is positive, and a teardrop-shaped pupil is seen. BP and other trauma survey findings are normal. What is the most appropriate disposition?