Eye Injury — ER NOTE

1กลไกและประวัติ (Mechanism & History)

กลไกการบาดเจ็บ (Mechanism)

สารเคมี (ถ้ามี) (Chemical agent)

เวลาตั้งแต่บาดเจ็บ (Time since injury)

อุปกรณ์ป้องกันดวงตา (Eye protection)

ดวงตาที่ได้รับผลกระทบ (Affected eye(s))

Right Left Bilateral

Right eye

Left eye

Pinhole improvement

Yes No

Lids / adnexa

Normal Laceration Edema / ecchymosis Everted for FB search

Conjunctiva / Sclera

Normal Injection Chemosis Subconjunctival hemorrhage

Anterior chamber

Normal Shallow Hyphema Hypopyon

Pupil / Iris

Round, reactive Irregular / peaked Mydriasis / RAPD Traumatic mydriasis

Lens / Fundus (if viewable)

Seidel test

Negative Positive (full-thickness) Not performed

FB location / removal

Orbital / penetrating injury signs

Orbital wall deformity Uveal prolapse Decreased VA not explained None

pH (pre / post irrigation)

Irrigation

Chemical grade / limbal ischemia

Medications / procedure

Topical antibiotic ointment Cycloplegic Oral / topical analgesia Eye patch (not for infection/chemical) Tetanus prophylaxis checked

Tetanus

Consult / disposition

Red flags documented

Chemical injury Penetrating injury / Seidel + Hyphema / hypopyon Vision loss / RAPD