Anterior chamber is flat +/- abnormal pupil
Ruptured globe is certain
Stop the exam; place eye shield, consult ophtho
Hyphema
Evidence of significant<unk> ; consult ophtho
Extra-ocular movements
Restricted upgaze or lateral gaze suggests<unk>  Fracture with entrapment
Obtain CT face<unk>  Rim
Feel for step-off
Sensation
Test along distribution of inf<unk>  nerve (below eye and ipsilateral side of nose)
Photophobia
If photophobia in affected and unaffected eye, suspect<unk> tic iritis
Decreased visual acuity +/- proptosis
Clinically suspect<unk>  Hematoma, check IOP if open globe has been ruled out
Ruptured globe is certain
Stop the exam; place eye shield, consult ophtho
Evidence of significant<unk> ; consult ophtho
Restricted upgaze or lateral gaze suggests<unk>  Fracture with entrapment
Obtain CT face
Obtain CT face
Feel for step-off
Test along distribution of inf<unk>  nerve (below eye and ipsilateral side of nose)
If photophobia in affected and unaffected eye, suspect<unk> tic iritis
Clinically suspect<unk>  Hematoma, check IOP if open globe has been ruled out
Bird's eye view for exophthalmos with retrobulbar hematoma
Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)
Acuity
Diplopia
Binocular diplopia suggests entrapment of extraocular muscles
Monocular diplopia suggests lens dislocation
Extraocular motion
Limitation on upward gaze occurs with fracture of inferior and medial<unk>  wall
Pupil
Teardrop sign (globe rupture), hyphema, reactivity (swinging flashlight test)
Pressure (only if rule out globe rupture)
Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]
Bird's eye view for exophthalmos with retrobulbar hematoma
Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)
Binocular diplopia suggests entrapment of extraocular muscles
Monocular diplopia suggests lens dislocation
Limitation on upward gaze occurs with fracture of inferior and medial<unk>  wall
Teardrop sign (globe rupture), hyphema, reactivity (swinging flashlight test)
Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]
Orbital trauma
Acute
Orbital fracture
Caustic keratoconjunctivitis^^
Vitreous hemorrhage
Conjunctival hemorrhage
Ocular foreign body
Conjunctival laceration