Contact Lens Removal
Contact Lens Removal Timothy G. Givens Introduction As the number of persons wearing contact lenses steadily increases, so does the chance that a physician in the emergency department (ED) will…
Eye Patching and Eye Guards
Eye Patching and Eye Guards Michael Shannon Introduction Because of its prominence and delicateness, the eye is frequently injured. Eye injuries occur despite a large number of physiologic protective mechanisms…
Ocular Irrigation and Decontamination of Conjunctiva
Ocular Irrigation and Decontamination of Conjunctiva Mananda S. Bhende Eric Tham Introduction Eye irrigation is the crucial first step in the treatment of chemical injuries to the eye. Chemical burns…
Ocular Foreign Body Removal
Ocular Foreign Body Removal Winnie T. Whitaker Wendy J. Pomerantz Introduction Foreign bodies commonly become lodged on the eye surface, whether blown in by wind or propelled at high velocity….
Slit Lamp Examination
Slit Lamp Examination Alex V. Levin Introduction Slit lamp biomicroscopy is a diagnostic procedure that requires experience and specific skills. It is unlikely that the majority of pediatricians and emergency…
General Pediatric Ophthalmologic Procedures
General Pediatric Ophthalmologic Procedures Alex V. Levin Introduction Physicians caring for children will be confronted with a number of ocular problems, including trauma, infection, inflammation, and ocular manifestations of systemic…
Ventricular Puncture
Ventricular Puncture James F. Wiley II Ann-Christine Duhaime Introduction Ventricular puncture refers to the removal of cerebrospinal fluid directly from the intracranial ventricular system by way of an open fontanel…
Subdural Puncture
Subdural Puncture George A. Woodward Carolyn M. Carey Introduction A subdural puncture (commonly referred to as a subdural “tap”) is used to evacuate subdural blood or fluid. This procedure can…
Ventricular Shunt and Burr Hole Puncture
Ventricular Shunt and Burr Hole Puncture Ann-Christine Duhaime James F. Wiley II Introduction Children with ventricular shunts can present to the emergency department (ED), office, or clinic with signs or…
Lumbar Puncture
Lumbar Puncture Kathleen M. Cronan James F. Wiley II Introduction Lumbar puncture (LP) is used to obtain cerebrospinal fluid (CSF) for diagnostic and therapeutic purposes. In most cases, it is…
