Eyelid and orbital trauma for the primary care physician

Gordon, Abigail A.; Tran, Lillian T.; Phelps, Paul O.

doi:10.1016/j.disamonth.2020.101045

Cited by 7 publications

(11 citation statements)

References 22 publications

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“…This study focused on practicing PAs who filled out the vision and ocular care survey after completing the general survey. PAs who were practicing or had practiced in ophthalmology were excluded from this analysis because their responses were previously published 7. Survey participants were informed that voluntary completion of the survey served as their consent to participate in the study.…”

Section: Methodsmentioning

confidence: 99%

“…PAs who were practicing or had practiced in ophthalmology were excluded from this analysis because their responses were previously published. 7 Survey participants were informed that voluntary completion of the survey served as their consent to participate in the study. All survey questions were optional.…”

Section: Me Thodsmentioning

confidence: 99%

“…5 Patients with eye injuries frequently go to their primary care provider and/or to the ED. [6][7][8][9] Furthermore, nonemergency conditions account for almost half of all eye-related ED visits. 9 Four baseline goals from Healthy People 2030 address vision: to reduce vision loss from diabetic retinopathy, glaucoma, cataract, and from age-related macular degeneration.…”

mentioning

confidence: 99%

“…An estimated 24 million people in the United States have had an eye injury in their lifetime 5. Patients with eye injuries frequently go to their primary care provider and/or to the ED 6-9. Furthermore, nonemergency conditions account for almost half of all eye-related ED visits 9.…”

mentioning

confidence: 99%

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PAs' skills in providing vision and ocular care

Lee¹,

McCall²,

Smith³

et al. 2022

Jaapa

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Objective: To evaluate characteristics, training, and selfreported skills and abilities in vision and ocular care among PAs not specializing in ophthalmology. Methods: A survey on PA practice was administered to 5,763 randomly selected US-based PAs, and 537 respondents who completed the survey were invited to complete a separate vision and ocular care survey. Of those respondents, 382 completed the vision and ocular care survey. Results: Among respondents, 23% of PAs were involved in eyecare by providing patient information, answering questions, and initiating discussions about vision care and ocular health more than once per month. More than 77% received vision and ocular care training in and/or outside PA training. PAs involved in eyecare had signifi cantly greater odds of reporting higher desired and current skill and ability levels compared with PAs not involved in eyecare, in six of eight vision and ocular care domains. Conclusions: PAs who do not practice in ophthalmology provide vision and ocular care but have varying amounts of training and desire higher skill and ability levels. Ophthalmologists and PA institutions may develop vision and ocular care training for PA schools and continuing medical education.

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Section: Methodsmentioning

confidence: 99%

Section: Me Thodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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PAs' skills in providing vision and ocular care

Lee¹,

McCall²,

Smith³

et al. 2022

Jaapa

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“…I ntraorbital foreign bodies (IOFBs) are typically caused by a high-velocity trauma to the orbit but may also occur after relatively trivial trauma [1] , constitute 16.7% of orbital injuries [2][3][4] . While most IOFBs are metallic or glass particles, intraorbital wooden foreign bodies (IOWFBs) are relatively rare [5] .…”

Section: Introductionmentioning

confidence: 99%

Intraorbital wooden foreign bodies: case series and literature review

et al. 2021

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Intraorbital wooden foreign bodies (IOWFBs) constitute a relatively rare ocular trauma, which occupy a special type of intraorbital foreign bodies (IOFBs). Data regarding IOWFBs must be obtained from case reports or small case series due to their rarity. Here, we reported 5 cases of IOWFBs and reviewed the related literatures, which could provide comprehensive information regarding the clinical manifestations, diagnosis, and surgical treatment of IOWFBs. Combined with the published literature, a total of 51 independent cases were counted after we added 5 cases. Among them, the number of male and female patients was 35 and 16 respectively; the mean age was 27.3±18.2 (range 1-66)y. Obviously, the disorder seemed to occur mainly in young and middle-aged people. Because of the diversity in the clinical manifestations and imaging characteristics of IOWFBs, misdiagnosis and missed diagnosis often occur during the initial visit. Delayed diagnosis may lead to a high risk of orbital infection caused by IOWFBs. Surgery is the treatment of choice for most patients; however, the missed diagnosis and residue of foreign bodies after previous surgery cannot be ignored. Therefore, an accurate diagnosis is governed by the detailed trauma history, careful ocular examination, close observation of clinical manifestations, correct imaging diagnosis [e.g., magnetic resonance imaging (MRI) or computerized tomography (CT)], and timely and completely elimination of IOWFBs.

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Diagnosis and treatment intraorbital foreign body: A case report

Zhao,

Feng,

2024

Clinical Case Reports

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Key Clinical MessageWooden foreign bodies inside the eye socket are an uncommon kind of eye injury that falls into a distinct category of intraorbital foreign bodies. Due to the wide range of clinical presentations and imaging features of intraorbital wooden foreign bodies, misinterpretation and failure to diagnose correctly often happen.AbstractWooden foreign bodies inside the eye socket are an uncommon kind of eye injury that falls into a distinct category of intraorbital foreign bodies. The condition mostly manifested in individuals of youthful and middle age. Due to the wide range of clinical presentations and imaging features of intraorbital wooden foreign bodies, misinterpretation and failure to diagnose correctly often happen during the first examination. The risk of orbital infection might greatly rise if there is a delay in diagnosing woody foreign substances inside the eye socket. The majority of patients need surgical intervention as the recommended course of therapy. Nevertheless, it is essential to avoid disregarding undetected diagnoses and the existence of foreign material remnants after prior surgical procedures. Hence, achieving a precise diagnosis relies on a comprehensive assessment of the patient's trauma history, meticulous examination of the eyes, vigilant monitoring of clinical symptoms, accurate imaging techniques such as magnetic resonance imaging (MRI) or computerized tomography (CT), and prompt and thorough removal of wooden foreign objects within the eye socket.

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Eyelid and orbital trauma for the primary care physician

Cited by 7 publications

References 22 publications

PAs' skills in providing vision and ocular care

PAs' skills in providing vision and ocular care

Intraorbital wooden foreign bodies: case series and literature review

Diagnosis and treatment intraorbital foreign body: A case report

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