The following pathway will continue post-pandemic
Direct dial from HRI 152539, From CRH 2539.
ED to Opthalmology COVID-19 Referral Pathway v2Direct dial from HRI 152539, From CRH 2539.
ED to Opthalmology COVID-19 Referral Pathway v2GCA is a is a vasculitis generally seen in the over 50’s and associated with polymyalgia rheumatic (PMR). However, unlike a lot of rheumatology, GCA is far from a benign condition that can be passed back to the GP’s, it can lead to some significant problems
Like tension pneumothorax the biggest step is deciding to do it – Remember it it sight saving and they heal well
Retrobulbar Haematoma secondary to blunt eye injury is a a rare but potentially sight threatening injury.
However, this may only be recognised on CT if there is significant facial injury and altered conscious level.
Call Ophthalmology immediately to attend. If there is going to be any significant delay, it may be necessary for ED to preform a Lateral Canthotomy, to allow the eye to move forward, reduce the orbital pressure & preserve the patients sight.