Jahangir Ayatollahi - Meybod

Injuries to the eye are common in unexpected accidents. Many are minor but, if not treated quickly and appropriately, can lead to sight-threatening complications. Some injuries are sever and even, with expert management, sight can be lost .Good primary eye care and first aid can save sight of injured persons. In this article many types of injuries and method of assessment and managing of them according different references and individual experiences are explaine : Conclusion Managing ophthalmic trauma is challenging. Clinical and surgical skills and equipment vary from place to place, so that the management of serious eye injury requires a variety of alternative strategies. In principle, if a health care worker or rescuer, can diagnose and treat a condition and recognize the complications, then he or she can manage that case. Corneal abrasion, conjunctival , tarsal, superficial corneal foreign bodies and small lid lacerations not involved the lid margins, can be managed by nurses and general practitioners. Injuries such as deep corneal foreign bodies and large hyphaemas should be managed in centers where slit lamp examinations can be performed. Open globe injuries, lid laceration involving the lid margin or canaliculi, blow out fractures with diplopia in the primary position and any potential intraocular foreign body should be referred to a well equipped eye care centre . The commonest errors in dealing with ocular trauma are missed tarsal foreign bodies missed intraocular foreign bodies confusing corneal laceration with abrasions missed scleral laceration and ruptures missed cranial injuries