Mechanism of injury? E.g., hammering a nail into wood suggests that a piece of the n...
Consult ophthalmology emergently.
Administer antibiotics immediately (IV preferred, oral if IV not available).
Moxifloxacin 400 mg IV
Patients should be advised to wear safety glasses.
Any patient with a globe injury will need continued monitoring by an ophthalmologist.
Boyette JR, Pemberton JD, Bonilla-Velez J. Management of orbital fractures: challenges and solutions.
Clin Ophthalmol. 2015;9:2127–37. doi: 10.2147/OPTH.S80463....
Maintain a high suspicion and initiate treatment immediately.
Obtain appropriate imaging to evaluate for intracranial trauma, intraocular foreign body, or orbital bone fractures.
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