This handbook is designed to help shape the thought processes of the eye clinician or trainee and guide them toward the right decision-making pathway in emergency ophthalmology situations. Chapters are titled by the way cases present to eye casualty rather than condition, along with an algorithmic approach on what clinical and laboratory investigations to carry out. There is also guidance on how to perform simple procedures. It is aimed at trainees, general ophthalmologists and those with an interest from allied specialties (including specialist nurses) and professions such as optometrists and emergency medicine doctors.
- Stresses safe and practical navigation of common eye symptoms presented in an emergency setting.
- Provides guidance on differential diagnosis and includes useful decision-making flowcharts.
- Emphasizes "how to" approach the eye casualty patient.
- Shows what can be expected at each stage of the eye injury patient encounter.
- Presents information appropriate for the entire multi-disciplinary eye casualty team
Table of Contents
Introduction – Gwyn Samuel Williams
Chapter 1 – The red eye – basic algorithm on how to differentiate main conditions from each other- Amy-lee Shirodkar
Chapter 2 – Cellulitis and swelling around one or both eyelids- Tina Parmar
Chapter 3 – The watery eye- Dana Ahnood
Chapter 4 – Trauma to the eyelids and periorbital region- Abdus Samad Ansari
Chapter 5 – Corneal ulcers and contact lens keratopathies- Bushra Thajudeen
Chapter 6 – Corneal defects, abrasions, foreign bodies and worse- Magda Popiela
Chapter 7 – Photophobia and iritis- Gwyn Samuel Williams
Chapter 8 – Red eyes after cataract surgery and other operations- Annie See Wah Tung
Chapter 9 – Apparent sudden vision loss – an essential approach- Colm McAlinden
Chapter 10 – Flashing lights and floaters – Bhavana Sharma
Chapter 11 – New haemorrhages in the vitreous and/or retina – Tafadzwa Young-Zvandasara
Chapter 12 – There is something new and odd at the back of the eye- Rhianon Perrott-Reynolds
Chapter 13 – Wavy lines, distorted vision and blur- Annie See Wah Tung
Chapter 14 – Vitritis and posterior uveitis- Safa Ahmed Elhassan
Chapter 15 – The painful eyeball- Alexander Kin Chiang Chiu
Chapter 16 – Retinal tears and detachments- Sidath Wijetilleka
Chapter 17 – One or more bulging eyes- Derek Kwun-hong Ho
Chapter 18 – Double vision and new onset strabismus in an adult- Eulee Seow
Chapter 19 – My baby has a white pupil in this photograph and/or has a squinty eye- Ryan Davies
Chapter 20 – Non-accidental injury – Damien Yeo
Chapter 21 – One or both optic discs are swollen- Tariq Mohammad
Chapter 22 – Headaches and pain in the temple- Bhavna Kumari Sharma
Chapter 23 – Managing trauma- Bhavin Patel
Chapter 24 – Called to ITU to examine a fundus- James Potts
Chapter 25 – When there are symptoms but it all looks totally normal – Andrew Want
Chapter 26 – Triage – Amy-lee Shirodkar
Chapter 27– Summary of approach- Gwyn Samuel Williams
Chapter 28 – The moral ophthalmologist- Gwyn Samuel Williams
Gwyn Samuel Williams is a consultant ophthalmologist at Singleton Hospital in Swansea with an interest in medical retina and uveitis. He trained in Ophthalmology on the Wales Rotation and completed a Medical Retina fellowship at Moorfields Eye Hospital in London. He is honorary senior lecturer at Swansea University and has a keen interest in writing, reading, and hiking through the beautiful Welsh countryside.
Amy-lee Shirodkar has a special interest in emergency and general ophthalmology having completed ophthalmology training in Wales, TSC in emergency ophthalmology and is currently completing a Moorfield’s fellowship in urgent eye care and general ophthalmology. She is currently the secretary of the British Emergency Eye Care Society, a society aimed at improving provision, care and recognition of the sub-speciality. She has a keen interest in ophthalmic training, representing training issues as a trainee representative at college level, undertakes supervision of junior trainees and has developed e-learning material covering aspects of career development, surgical and clinical skills. She lives and works in London, enjoying what the city has to bring.