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Orbital trauma orbital-fracture-ADTXNE (Clinical Manifestations (Blood in…
Orbital trauma
Definition
Where there is a break in one of the bone surrounding the eyeball.
Causes
Object that can cause fracture
Great deal of force
Heavy strike around the eye
Pathophysiology
may occur in the extraocular muscle
Involving the in the site
Pathogenesis of orbital blowout fracture
Causing the malposition of the eye globe.
resulting in ocular motility disturbance
Clinical Manifestations
Blood in the white part of the eye
Difficulty moving the eye
Numbness in the injured side of the face.
Black and blue bruising around the eye
Swollen skin under the eye
Blurry and decreased vision
Nursing Intervention
Apply cold around the eye to minimize level of swelling
Remove any foreign objects in eye socket
Provide information and support through treatment.
Assess the level of swelling around the eye
Also apply rubs and ice pack to reduce swelling
Surgical Management
Redressing operation have been done
Assess bleeding after post operation
Check the level of pain after surgery.
Pharmacological Effect
Naproxen
Antibiotics I.e Amoxycillin
Ibuprofen
Diagnostic tests
Diplopia field test
Radiologic examination
Exophthalmometry
Health Education
Prolonged vision especially to sensitive light
Removing of eye discharge to reduce chances of infection
Cleaning of the eye surrounding
