Work Instruction

1.

OPD card

2.

(Chief complaint )

( Present illness )

( Past history )

( Family

history )

- (Medical history )
, thyroid

, hypertension

hypertensive retinopathy

( General history)

3.

4
4.

OPD card

EMERGENCY

5.

6.
7.
/

1.

(True

emergency)

1.1

(Chemical burn)

ammonia , mustard gas

N.S.S.

irrigate

1.2

(Central retinal

artery occlusion ,CRAO)

central artery

2-3

fundus

Red cherry spot 2-3

2.

Very urgent situations

2.1

Ruptured or Perforation globe

( globe)

rupture cornea / rupture

sclera
2.2

Acute

angle closure

glaucoma

Cilliary injection

anterior

cilliary

vessels

Schiotz

16.1 + 2.8

non contact

mmHg

21

mmHg (Glaucoma)
2.3

Sudden

congestive

pseudoptosis

intraorbital

nerve

( trauma)

3.

orbital wall

Urgent situation

3.1

Corneal abrasion

( trauma) ,

foreign body, FB) , contact lens

3.2

Corneal ulcer

bacteria ,virus , fungus ,parasite

contact lens

3.3

Gonococcal conjunctivitis

Inclusion virus

conjunctival

virus

3.4

Corneal

foreign

body

3.5

Tramatic

hyphema

chamber) ( trauma)

anterior

/ 30-45

3.6

Acute

iritis

bacteria , virus ,

tuberculosis , syphilis
3.7

Traumatic

optic neruritis ( TON)

( trauma)

3.8

Orbital

cellulitis

3.9

Orbital injury

( trauma)

(fracture floor of orbit )

3.10

Cavernous

sinus

thrombosis

 Cavernous sinus
lateral

muscle

3.11

Intraocular foreign body ( IOFB )

/ /

3.12

Endophthalmitis

bacteria

6



3.13

Herpes

zoster ophthalmicus

24
zone

opthamic branch of N.5

vesicle

purulent

uveal

tract

3.14

Lid

laceration

trauma
3.15
Ultraviolet

Ultraviolet keratopathy

4.

Semiurgent situation

4.1

neuritis

Optic neuritis

Papilitis

optic

Retrobulbar optic

neuritis

encephalitis , meningitis

retina

4.2

Blow out fracture

( trauma)

(fracture floor of orbit)
5 .

( globe )

4.3

Open angle glaucoma

4.4

Retinal detachment

( RD )

sensory retina

retina pigment epithelium ( RPE )

( light flash ),

( floaters )

4.5

Ocular tumor

malignant meranoma of uveatract

, neuroepithelioma

of

retina
4.6

Acute exophthalmos

 ( trauma)
( spontaneous

hemorrhage )

Retrobulbar

hemorrhage ( local anesthetic

block )
4.8

Dacryocystitis

4.7

Amblyopia

and squint

Amblyopia

refractive error

Amblyopia