MRCP UK EXAMINATIONS

NEUROLOGY

OCULAR PALSIES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Suspect intraocular foreign body when there is
A
Dislocation of lens
B
Hyphema
C
Iris hole
D
Subconjunctival hemorrhage
Explanation: 

Detailed explanation-1: -An embedded foreign body can be removed by using a gentle flicking motion with an eye spud, if available, or with a 25-or 27-gauge needle. Place the hub of the needle on the tip of a cotton swab or a 3-mL syringe.

Detailed explanation-2: -However, in an obvious open globe injury, any undue pressure on the globe should be avoided as it may lead to extrusion of intraocular contents. Most foreign bodies are located in the posterior segment. Dilated fundus examination is essential.

Detailed explanation-3: -Open globe injuries (OGI) are associated with retained intraocular foreign body (IOFB)in 18 to 41% of cases1. Retained IOFB is an important cause of visual morbidity and blindness, especially in working-age population with male predominance. Majority of the IOFBs are related to trauma at workplace1.

There is 1 question to complete.