Urgent Eyecare / Emergency 

Our experienced therapeutic optometrist has the expertise to diagnose and manage eye emergency conditions accurately and efficiently, such as foreign bodies, eye pain,  red eyes, headaches, retinal and macular emergency. Our practice is very well equipped to handle eye emergency conditions. For example, high resolution magnified photography and scans of both external and internal eye health is available to show and explain to patients for fully understanding of their conditions to improve their compliance of treatments for effective management. For those eye emergency conditions required to be managed by ophthalmologists or other medical professionals, emergency referrals and appointments can be arranged swiftly. 

 

Our optometrist worked in an eye specialist clinic in a hospital. He is a certified and registered as therapeutic endorsed optometrists in Australia, therefore, he is able to prescribe many eye medications to treat common eye conditions.

Some of the emergency cases have been diagnosed and managed are as below:

Removal of Embedded Corneal Foreign Body

Corneal foreign body removal.

Patient: 74 year old man came in with foreign body sensation with blinkings in his right eye. Normal vision was reported.

History: A metal foreign body was found embedded in his nasal peripheral cornea outside the pupillary zone. 

Examination: High resolution magnified images were taken and used for explaining the conditions and procedures required to the prepare the patient psychologically in order to avoid panic attack; and documenting the conditions and severity for future reference and comparision.

Management: After his consent of proceeding the procedure, local anesthetic eye drops were applied and the foreign body was gently and painlessly removed with a sterilized tool. Rust residues and stain were found underneath and then successfully removed by another sterilized special tool without any discomfort.

Eye medication and instructions were given, and a review in 24 hours was scheduled to ensure normal wound healing without any complications. 

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Guide: Local experienced therapeutic optometrists with sufficient equipment and tools, such as slit lamp imaging and foreign body removal tools, including corneal rust ring remover Algerbrush, are the best practitioners to manage these cases. All cases should return in 24 hours (or sooner if symptoms worsen) for re-evaluation to ensure the corneal wound healing normally. Untreated corneal infection and ulcers can lead to severe permanent vision loss and even loss of an eye. Close follow-up until the corneal epithelial defect resolves.

Corneal Scarring Caused By Over-the-counter Wart Remover Applied On Eyelid

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Patient: Asian female, late 30's

Symptoms: Constant cloudy vision of left eye for 4 days.

 

History: This symptom started after using an over-the-counter wart remover with salicylic acid to remove a wart on her eyelid 5 days ago. The chemical went into her eye and she irrigated the eye with tap water for about 15 minutes. Then she consulted a GP and had used an antibiotic eye medication. 

Signs: The images showed a central hazy corneal scar covering most of the pupillary zone. This scar could be permanent and cause irreversible reduced vision even with spectacles or contact lenses.

Management: Corneal scar is permanent. She was advised to use non-preservative artificial tear four times a day and if needed.

Guide: Local experienced therapeutic optometrists are the best practitioners to deal with eye emergency like this, especially when the vision is affected. Because therapeutic optometrists can prescribed eye medications to treat and manage this condition, and monitor both vision and eye health. However, emergency departments are the best places for managing severe cases. 

Papilledema In One Eye Caused By A Mandarin Size Brain Tumour

Papilledema

Patient: Caucasian male, mid 20's, healthy looking

 

Symptoms: Came in for a routine eye examination due to his vision in one eye was slightly blurry.

History: Personal and family medical history was normal.

Signs: The retinal photography showed his optic nerve heads were slightly swollen with fuzzy margin.

 

Management: He was advised to go to an emergency department immediately. He declined and left initially due to minimal symptoms. I called him an hour later and advised him to go an emergency department again. He listened to his friend and finally came in to get the referral and went to an emergency department. He had a scan of his brain and immediately diagnosed with a mandarin size brain tumor in his frontal lobe. He had a brain surgery 2 days later and then another brain surgery 2 days after.

 

Outcome: He survived the surgeries and fully recovered after a few months.

Guide: Any changes of vision can be caused by eye and/or visual pathway disorders, such as dry eyes, cataracts, macular, retinal, optic nerve and brain disorders, such as brain tumors.

Comprehensive eye examination is required to check eye health and visual pathway thoroughly even with slightly blurry vision.