How to manage medical emergencies in ophthalmology

Ophthalmological emergencies are of diverse etiology and severity while warning signs are less diverse. In front of cardinal signs that are redness, pain and impaired vision, it is necessary for emergency physician to structure the diagnostic process. Some of these situations require an urgent ophthalmologic care as in acute angle-closure glaucoma or endophthalmitis. The neuro-ophtalmic emergencies, in turn, must be imperatively identified because of the vital risk involved. The emergency physician will be able to, through appropriate interrogation, optimize patient care and to refer him to the ophthalmologist based on level of appropriate emergency. In case of experience and suitable equipment, he will also carry out a slit-lamp examination that will help him detect the most obvious defects and in some cases to achieve an adapted treatment such as extraction of a foreign body from cornea or under eyelid

[What to do in case of burn and chemical eye burns and injuries]

Ocular burns are a common emergency situation where the cooperation between the emergency physician and ophthalmologist is essential for evaluation and for optimum treatment of patient. A prompt and appropriate management will allow minim functional sequelae that can be very disabling. Knowledge of the causative agents, well-performed clinical examination and efficient eyewash are needed before more specialized treatments are considered