›Topical antibiotic per local protocol dependent
›Contact lens removal
›Allergic conjunctivitis
›Topical antihistamine mast cell stabilizer
›Oral antihistamine if systemic symptoms
›Corneal abrasion
›Topical antibiotic prophylaxis
›Oral analgesia
›Avoid contact lenses
›Suspected microbial keratitis
›Ophthalmology emergent
›Broad spectrum topical antibiotic per ophthalmology
›Anterior uveitis
›Ophthalmology urgent
›Cycloplegic per ophthalmology
›Steroid drops only with ophthalmology guidance
›Acute angle closure glaucoma
›Ophthalmology emergent
›Topical beta blocker per local protocol dependent
›Topical alpha agonist per local protocol dependent
›Topical pilocarpine when appropriate per ophthalmology
›Acetazolamide if not contraindicated per local protocol dependent
›Reassessment timing and triggers
›Pain reassessment within 30 to 60 minutes
›Visual acuity reassessment if worsening symptoms
›Escalate if new orbital signs
›Escalate if new corneal opacity
›Escalate if new photophobia with ciliary flush
›Specialty involvement
›Ophthalmology emergent for vision loss
›Ophthalmology emergent for corneal ulcer concern
›Ophthalmology emergent for acute angle closure concern
›ENT and ophthalmology for orbital cellulitis with sinus disease
›Toxicology or poison control for chemical exposures