Trauma
Outpatients | Ophthalmology (Eye)This condition is treated in the Ophthalmology (Eye) clinic.
Pre-referral work-up
History
All referrals should comply with the Standard Referral guidelines and include in particular:
- Clear description of trauma including mechanism of injury; velocity, penetrating
- Any suspicion of intraocular or intraorbital foreign body - non/magnetic metal/non-metal
- History of hitting metal with metal †’ suspicion of intraocular foreign body
- Chemical injury: detail chemical involved and mechanism injury
Examination
- Visual acuity
- Confrontation visual fields
- Pupil reaction
- Corneal or sub tarsal foreign bodies
- Macroscopic hyphaema
- Eye movements full or reduced
- Globe formed
- Lid or canalicular trauma
- Acute orbital compartment symptom: tight orbit/pain/reduced vision/afferent pupil defect
- Requires emergency lateral cantholysis - refer suspected cases in a time-critical manor
- Chemical injury:
- Immediately irrigate all chemical injuries with Saline, Hartmann's or water for at least 10 minutes.
- Requires time-critical referral.
- Retinal detachments must be considered
Tests
- X-ray (where appropriate)
Interim/GP management
To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.
Chemical injury: Immediately irrigate all chemical injuries with Saline, Hartmann's or water for at least 10 minutes. Refer to ED. Refer significant chemical injuries in a time-critical manor.
Suspected penetrating eye injury: Avoid pressure on eyeball. Do not attempt to remove any foreign bodies. Do not instil any topical medication. Cover with a protective shield being careful to place no pressure on orbit or eyeball. Treat any nausea or vomiting prior to transport. Transport in a time-critical manor with head elevated above torso. Keep nil by mouth.
Suspected orbital blow out fracture: Advise patient not to blow nose. Refer to ED.
For more information please see the HealthPathways Tasmania website.
Clinic appointments
🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Emergency
🚩 Any significant trauma with lid, orbital and or ocular signs and or symptoms
🚩 Known or suspected penetrating eye injury
🚩 Acute orbital compartment symptom requires emergency lateral cantholysis - refer supected cases in a time critical manor
🚩 Chemical injury: Immediately irrigate all chemical injuries with Saline, Hartmann's or water for at least 10 minutes. Refer significant chemical injuries in a time-critical manor
🚩 Known or suspected intraocular foreign body
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Availability
North
THS Northern Region does not offer a public eye clinic. See Health Pathways for more information
North West
Unavailable.
South
Wellington Clinics (Level 11)
Phone: 03 6166 0000
Fax: 03 6234 9454