Consider prescribing antibiotic eye drops for management of acute bacterial conjunctivitis to speed resolution of symptoms and infection.
Do not recommend use of eye patches for patients with uncomplicated corneal abrasions.
In cases of suspected primary open-angle glaucoma, refer patients to an ophthalmologist when disc hemorrhages are visualized or an abnormal cup-disc ratio or cup-disc asymmetry is present.
Promptly refer patients with any level of diabetic macular edema or diabetic retinopathy to an ophthalmologist for evaluation and management.
For patients with globe rupture or laceration of the eye, administer pain management drugs and antiemetics, place a protective eye shield over the eye, and urgently refer to an ophthalmologist.
Resources
Strength of Evidence: SORT B
Source: Cochrane Database Syst Rev, reference 26
Strength of Evidence: SORT B
Source: Am Fam Physician, reference 35
Strength of Evidence: SORT B
Source: JAMA, reference 47
Strength of Evidence: SORT A
Source: Diabetes Care, reference 86
Strength of Evidence: SORT C
Sources: The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease, Mayo Clin Proc, references 116 and 117
Website: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001211.pub3/full
Website: https://www.aafp.org/afp/2013/0115/p114.html
Website: https://jamanetwork.com/journals/jama/fullarticle/1687583
Website: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30304-9/fulltext
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