Browse categories and answer follow-up questions to refine your symptom profile.
Immediate threats and exclusions
Time-critical exclusions
Open globe concern
Severe decrease in visual acuity
Irregular or peaked pupil
Hyphema
Extruded ocular contents
Seidel positive
If open globe concern, rigid eye shield
If open globe concern, NPO
If open globe concern, emergent ophthalmology
Chemical ocular injury
Alkali exposure
Unknown chemical exposure
If chemical injury, immediate irrigation before full exam
If chemical injury, continue irrigation to neutral pH
Penetrating or intraocular foreign body risk
Metal-on-metal mechanism
High-velocity projectile mechanism
If high-risk mechanism, CT orbit without contrast
Initial stabilization and pain control
Immediate priorities
Visual acuity before drops when feasible
Any acute decline from baseline
If unable due to pain, after analgesia
Pain control strategy
Topical NSAID consideration for short course
Oral analgesics if needed
Cycloplegia for large abrasion or traumatic iritis features
Infection risk recognition
Contact lens related abrasion
Organic matter trauma
Immunocompromised host
Key decision points
Management branch points
Simple corneal abrasion
Normal or near-normal visual acuity
No infiltrate or ulcer
No hypopyon
Negative Seidel
Complicated abrasion
Central visual axis involvement
Large defect
Persistent symptoms beyond 24-48 hours
Contact lens wear
Suspected herpetic keratitis pattern
If complicated features, urgent ophthalmology follow-up
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.