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Ocular Emergencies

Recognize and initiate time-critical management of sight-threatening eye emergencies before ophthalmology arrives.

What this track covers

This track covers the initial recognition and stabilization of conditions that threaten vision within minutes to hours, including chemical injuries, globe trauma, acute vision loss syndromes, angle-closure glaucoma, corneal emergencies, and orbital infections. It focuses on the exam findings and decision points that separate emergent referral from watchful management.

What you will practice

  • Differentiate alkali versus acid chemical injury and sequence irrigation before further workup
  • Identify globe rupture signs on exam and know when to stop manipulating the eye
  • Distinguish central retinal artery occlusion, retinal detachment, and optic neuritis by history and exam
  • Recognize acute angle-closure glaucoma and sequence initial interventions by urgency
  • Spot orbital cellulitis features suggesting compartment syndrome or cavernous sinus extension

Simulator scenario

A patient presents after a workplace splash injury with eye pain and blurred vision, requiring the clinician to triage chemical type, sequence irrigation and pH checks, and decide on urgent ophthalmology referral.

Board question topics

  • Chemical burn irrigation sequencing and endpoints
  • Hyphema grading and activity restrictions
  • Acute angle-closure glaucoma exam findings
  • Orbital compartment syndrome recognition

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