TMOD Exam Study Guide (FINAL EDITION) Questions
with Correct Answers
Chemical Burn Treatment and Follow Up? ✔✔ *Irrigation with Saline*
Wait 5 to 10 minutes and then check pH
Re-irrigate until pH = *7-7.4*
Could use
...
TMOD Exam Study Guide (FINAL EDITION) Questions
with Correct Answers
Chemical Burn Treatment and Follow Up? ✔✔ *Irrigation with Saline*
Wait 5 to 10 minutes and then check pH
Re-irrigate until pH = *7-7.4*
Could use proparicaine prior to irrigation
Could use Cyclo or NSAID for pain
Could use topical Erythromyacin 1-2qh
*Avoid Phenylepherine* due to blanching
Follow up *Daily* until Epithelium healed
Corneal Abrasion Treatment and Follow Up? ✔✔ 1. *Antibiotic* - Fluoroquinolone QID
for 5-7 days OR Erythromyacin/Bacitracin Ointment 2-4qh
2. DON'T PATCH
3. Could use a bandage CL
4. AVOID STEROIDS
*Follow up 1 day* Then 3-5 days until healed
Conj or Corneal Foreign Bodies Treatment and Follow Up? ✔✔ 1. Apply Proparicaine
and remove FB
2. If Rust ring then remove with Alger
3. Then Treat same as Abrasion - DO NOT use Erythromyacin for FB (too weak)
4. Consider OCT/B-Scan to exclude intraocular FB
5. Remove Conj FB's with cotton swab soaked in 2.5% Phenly to reduce bleeding
6. PFAT may be given as needed
7. AVOID STEROIDS
Follow up same as Abrasion
Traumatic Iritis Treatment and Follow-Up ✔✔ 1. Cyclopentolate 2% TID
2. Prednisolone Acetate 0.125% QID
*Follow Up 5-7 days*
Perform Gonio 1 month after trauma to check for angle recession
When healed discontinue Cyclo and *TAPER steroid*.
Hyphema Treatment and Follow-Up ✔✔ 1. Check Blood Thinners/Sickle Cell
2. Avoid Gonio/measure IOP with Tono
3. *Rx Bed rest and keep head elevated*
4. *Shield over affected eye*
5. *Atropine 1.0% BID to TID*
6. *AVOID Aspirin/NSAID's/Prostaglandins*
8. Acetaminophen is okay
9. Increased IOP - start with Timolol, then Alpha Agonist
Consider Hospitalization
*Follow-up Next Day*Iridodialysis Treatment and Follow-Up ✔✔ Iridodialysis is the disinsertion of iris from
the Sclerel Spur and Cyclodialysis is the disinsertion of the CB from the SP.
Treatment includes *sunglasses, CL with artificial pupil or surgical correction*.
Risk of glaucoma, treat same as POAG.
If Hypotony use Atopine BID and Steroids
Eyelid Laceration Treatment and Follow-Up? ✔✔ 1. Tetanus Prophylaxis
2. Systemic Antibiotics if FB
3. Clean wound - refer out
Orbital Blow Out Fracture Treatment and Follow-Up? ✔✔ 1. *Forced ductions* to rule
out nerve palsy one week after trauma
2. *CT scan of Orbit WITHOUT contrast*
3. *Broad Spectrum Oral Antibiotics*:
Follow up at 1 week and 2 weeks after trauma
Traumatic Retrobulbar Hemorrhage Main Treatment? ✔✔ Refer out - Aggressive
Decompression
Traumatic Optic Neuropathy Treatment? ✔✔ SIGNS: New APD/Decreased color
*Pallor will appear weeks after trauma*
Treatment depends on Etiology- Refer out
Intraorbital Foreign Body Treatment? ✔✔ 1. Never remove an intraorbital FB until first
obtaining imaging
2. Refer for surgery
Ruptured Globe and Penetrating Ocular Injury Treatment? ✔✔ *(+)Seidel*
Protect eye with Shield
Systemic Antibiotics within 6h of injury
Tetanus Prophylaxis
Antiemetic for nausea
*Refer for surgical repair*
Intraocular Foreign Body Treatment? ✔✔ Protective Shield
Tetanus Prophylaxis
Vancomyacin 1g I.V.
*Refer for Surgical Repair*
Commotio Retinae/Berlin's edema Follow-Up and Treatment? ✔✔ SIGNS: Confluent
retinal whitening with recent trauma.
*No Treatment* usually clears w/o therapy
Follow up in *1-2 weeks* (prn if RD symptoms)Traumatic Choroidal Rupture Treatment? ✔✔ Refer out for Anti-VEGF treatment
Presentation and Etiology of Purtscher Retinopathy? Treatment and Follow-up? ✔✔
Vision loss with multiple CWS's and hemes. Etiology usually from injury to the head or
*chest*. No treatment available. Repeat DFE 2-4 weeks. VA returns to baseline in 50%
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