Eyelid Injury

Eyelid Injury

Eyelid Injury Eyelid Injury

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Question 1 of 3

1. Question
Which one of the following regarding initial management of this patient would be correct?
- Close wound on eyelid and send patient home for review of eye when swelling subsides.
- Close wound on eyelid and send patient home with head injury advice leaflet and analgesia
- Examine the patient further including assessment of the eye by manually opening eyelids if necessary despite pain
- Refer to ophthalmology without further examination
- Obtain x-ray imaging of orbit to exclude foreign bodies rather than force eyelids open for examination
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Question 2 of 3

2. Question
This man had his right globe examined and was found to have markedly reduced visual acuity and lack of light perception with no obvious occular damage. Reduction in visual acuity to the extent of monocular blindness in this eye is most likely due to which one of the following?
- Retinal detachment
- Severe corneal injury
- Vitreous haemorrhage
- Damage to optic nerve
- Occipital blindness
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Question 3 of 3

3. Question
In view of the mechanism of injury, the laceration to his eyelid and his monocular visual loss, which one of the following would be the best modality for urgent imaging?
- Orbital x-rays
- Facial x-ray
- Orbital USS
- MRI head
- CT head including orbits
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