Non-ophthalmic surgery post op eye pain

[optamologistz]

Does anyone work at an institution where anesthesia performs initial evaluation including fluorescein exam, and then will treat an abrasion? Or do all patients get an ophthalmology consult if they awake with eye pain? Just curious of others experiences.

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[MstaKing10]

Assuming you are in an academic institution. In private practice or private hospital it's next to impossible to get a stat ophthalmology consult so anesthesia would handle this themselves, then make appointment with opththalmology as outpatient. I initiated a quality improvement project at our hospital to train anesthesia to treat these themselves, and also more importantly how to prevent them. Don't see anything wrong with anesthesia checking for abrasion and treating on their own with ophthalmology follow up within a day as long as they are trained properly on how to manage it.

 

[cde]

Private practice anesthesiologist. For eye pain immediately postop I do not do a fluorescein exam but prescribe Ketoralac drops to affected eye every 6 hrs up to 24 hrs. 24 hours only! Have patient tape their eye shut that night or earlier if it's really bothering them. If it is not any better the next day follow up with an ophthalmologist. Most minor corneal abrasions will self heal in that time.

 

[Lazyeye9]

lol, yes ophtho getting called to see cornea abrasions caused by the anesthesiologist only happens in residency program.

 

[orbitsurgMD]

That kind of thing is only at teaching centers with ophthalmology residencies. In the rest of the practice world, that kind of thing doesn't happen.