#eye emergency

[bainsopticalhealthcare]

#eye emergency #eye care #eye sight

[taimoorkhan]

Lateral Canthotomy: A Critical Procedure for Acute Visual Loss

Lateral canthotomy is a surgical procedure performed to alleviate acute, potentially irreversible visual loss secondary to increased intraocular pressure from orbital compartment syndrome. This condition can arise from a variety of causes, including traumatic injury, infection, or bleeding, and requires prompt intervention to prevent permanent vision loss. In this article, we will explore the indications, technique, risks, and benefits of lateral canthotomy in the emergent setting.

Indications for Lateral Canthotomy

Orbital compartment syndrome is a potentially devastating condition that arises from increased intraocular pressure in the eye, leading to compromised blood flow to the optic nerve and retina. The resulting ischemia can cause irreversible vision loss if left untreated. Lateral canthotomy is a critical procedure that can decompress the orbit and alleviate the increased intraocular pressure, restoring blood flow and preventing further damage to the optic nerve and retina.

The signs and symptoms of orbital compartment syndrome can vary but may include severe eye pain, decreased vision, proptosis (bulging eye), chemosis (swelling of the conjunctiva), and resistance to eye movement. These findings are concerning and should prompt immediate evaluation by a trained medical professional.

Technique of Lateral Canthotomy

Lateral canthotomy is a relatively simple procedure that can be performed in the emergent setting by trained medical professionals, including emergency physicians and ophthalmologists. Proper technique is crucial to maximize safety and minimize risks, including bleeding, infection, and injury to the eye or adjacent structures.

The procedure involves a series of steps, beginning with proper sedation and pain management to ensure patient comfort during the operation. Sterile technique should be followed, including cleaning the skin with chlorhexidine and sterile draping of the surgical field.

Local anesthetic is infiltrated from the lateral canthus to the orbital rim to provide proper nerve blockage and minimize patient discomfort. Eye irrigation with saline solution is carried out to clear any debris or blood, while a straight mosquito hemostat is placed along the lateral canthus and applied for one minute to minimize bleeding. This provides a clear surgical field and reduces the risk of hemorrhage.

Once the hemostat is removed, a straight iris scissors is used to incise all layers of tissue along the same path, creating a flap of tissue that is lifted to expose the lateral canthus. Using forceps, the lower eyelid is grasped and retracted to reveal the lateral canthal tendon, located inferior and posterior to the lateral canthal fold. The tendon is then severed completely through the middle of the lateral canthal ligament with the iris scissors, effectively decompressing the orbital compartment and reducing intraocular pressure.

Risks and Benefits of Lateral Canthotomy

While lateral canthotomy is generally considered safe, there are potential risks and complications to consider. These may include bleeding, infection, injury to the eye or adjacent structures, and adverse reactions to anesthesia or pain medication. Careful monitoring of the patient's post-procedural course is essential, with close observation for any signs of bleeding, infection, or ocular complications. Follow-up care, including ophthalmologic evaluation, is also important to ensure adequate healing and restoration of vision.

The benefits of lateral canthotomy, however, far outweigh the risks in the emergent setting. This procedure is critical for the prevention of irreversible vision loss, and prompt intervention can lead to excellent outcomes and preservation of visual function.

Conclusion

Lateral canthotomy is a critical procedure that can alleviate acute visual loss and prevent permanent damage to the optic nerve and retina. As an emergent procedure, it requires careful consideration of the patient's medical history, co-morbidities, and potential risks and benefits.

#emergency medicine #acute care #emergency #health & fitness #biology #emergency physician #foamed #fitblr #lateral canthotomy #acute vision loss #intraocular pressure #orbital compartment syndrome #ophthalmology #surgical procedure #eye surgery #eye trauma #eye injury #eye emergency #vision loss

[pixlokita]

Redraw so I can delete the old version because it keeps jumpscaring me :’>

#you can like… ignore this one it’s more for myself xD #yipee #my art #fnaf #five nights at freddy's #fnaf security breach #michael afton #glamrock freddy #into the ballpit au #i guess his eyes glow blue normally but gold with Roxy’s upgrades #but Roxy’s burns his eyes so big no no #only for emergencies

[rebouks]

#ts4 #sims 4 #simblr #fib #fib extras #slowly emerging from build mode with crusty eyes

[anyataylorjoys]

LAST NIGHT IN SOHO (2021) dir. Edgar Wright

#last night in soho #last night in soho 2021 #anya taylor joy #movieedit #filmedit #filmreel #cinemapix #tuserdana #usertj #tusercourtney #userrobin #filmgifs #filmtvdaily #usergif #fyeahmovies #userladiesofcinema #femalegifsource #gifs* #eye strain #flashing #as sapphic as this movie is on the surface the underlying message screams about self-love and feels like a lesson #a ghost story with an alive girl + the concept that from a broken spirit emerged a haunting is SO fucking good #I am clearly still obsessed with this movie but man is this jackieshauna coded af

[puppetmaster13u]

Prompt 139

So. Dan has somehow found a small child. A practically newly born ghostling who had literally fallen right on top of him. A ghostling who had practically formed right above him, far away from nurseries and instead above him of all ghosts? 

Him, the Sunkiller? The Worldeater? Jordan Vladimir FentonNightingale-Foley-Manson? Son of Space and War? Bringer of the End?? Seriously, what the hell! Ghostlings shouldn’t even be able to form within other ghost’s Lairs, and he knew for a fact this wasn’t his own ghostling seeing as he wasn’t interested in such things. 

So here Dan is, feeling more confused than he ever has with a newborn ghostling clinging to him and sobbing in his arms about wanting his dad. What even is his unlife right now.

#dcxdp #dpxdc #prompts #dad dan #Phantastic Four #or at least implied lol #The moment Dan learns joker is alive he’s going to do a murder #He’s killed entire worlds before what’s a single mortal #It’s not like his parents or sister will notice a singular mortal dying- and it’s revenge for the ghostling #Dan: I am not attached to this lil shit but if anyone hurts him I will make them wish their death was permanent #Dan when Jason disappears back to the world of the living: WHERE IS MY BOI #Jason when he revives: Where is my dad- wait what dad- wait I have Two dads??? #They get reunited when Jason gets thrown into the Pits #Big Fucking Pit creature emerges from the waters with hair like the flames of the dying suns and eyes as red as blood #the whole Red Hood thing definitely goes differently with Joker dead & Dan there #Dan still refuses to admit that the now-halfa is his kid but the others want to meet their grandson/nephew #I wonder if Bruce knows that Dan is the one who killed joker or if he might’ve been there

[shopwitchvamp]

Today's restock is live!

We're back from our break! Come take a look at our first restock set available now, including one @vetiverfox jogger design!!

🖤witchvamp.com🖤

#witch vamp #vetiverfox #restock #reopening #we're back! #live now #fashion #clothing #skirts #joggers #skirts with pockets #thanks it has pockets #midi skirt #maxi skirt #petticoats #jester joggers #dark jester #vampire night #spider lily #creepy eyes #emergence #agony #red plaid #blue rose #dark fashion #goth #gothic #goth aesthetic #dark aesthetic #fashion design

[poorly-drawn-mdzs]

The red spot is a chili flake

The red spot is a chili flake... (context)

#poorly drawn mdzs #mdzs #ask #jin ling #It makes so much sense...wwx stores the chilli in his cheek pouches for easy deployment. In case of Bland Food emergency. #This is how he survives living with the Lans. #And how he trains his new body how to tolerate spice. #Poor jin ling does not have this resistance. He is taking burn damage the entire walk back home. Someone rub high fat yogurt on that boy. #Just in case its not a universal common experience to prepare peppers with your bare hands (like a fool) and touch your face (LIKE A FOOL): #that stuff *burns*. I try to remember to wear gloves but alas. This year we grew Serranos! Tasty little guys but mistakes were made. #Dont process peppers with cuts on your hands. Or rub your eyes. Actually: please jut wear gloves while handling peppers. #I can eat those puppies raw no problem but I am miserable when it gets into my eyes.

[guardian-angle22]

Tarlos Wedding Celebration Event [Week 10] -> favorite hug(s)-> 3.08

#911 lone star #911lsedit #tarlos #tk strand #carlos reyes #tarlosweddingcelebration #tarlosweddingevent #I made that 3.13 set and then immediately remembered THIS scene exists sooo ... yeah this one is my fave #the man walking in front of that hug is officially my arch nemesis btw. I don't know the poor fool's name but he's on The List #anyway... the eye contact they make before carlos dashes right into tk's arms #the desperate way they cling to each other in this #the way tk is so focused on reassuring carlos even after everything he just went through #my gifs #episode: s03e08 in the unlikely case of an emergency

[chadlesbianjasontodd]

[translation] "Pear Blossom" by Yoshiya Nobuko

Although the fiction of "Japan's first lesbian author" Yoshiya Nobuko was (and remains) hugely popular, of her entire body of work only one short story has ever been published in English translation, and no (other) fan translations appear to exist --- despite the enormous influence of her work on the predominant aesthetics and themes of shoujo manga. The beautiful flowery style and melodrama so famously attached to shoujo manga are thanks in large part to Yoshiya, and I'm very happy to be able to share one of her stories with you now!

"Pear Blossom" is a sparse and vivid short story from Yoshiya's early collection Hanamonogatari ("Flower tales"), a book noted for its use of beautiful imagery and its emphasis on the importance of romantic relationships between girls.

Read it here!

(nota bene, "Pear Blossom" is in the style of romantic, 'narcissistic' girlhood tragedy for which Yoshiya is most famous; approach accordingly. I've also included a page of notes on Yoshiya and her early lesbian fiction.)

#yoshiya nobuko #yuri #lesbian #translation #shoujo manga #(not that this is manga. sorry. prose-with-some-poetry only.) #this is a rather short story but please imagine me emerging absolutely covered in blood from fighting with it #trying to wrangle the lushness of yoshiya's writing style AND the subtleties she squeezed into such a pared-down story. into english #there's something about the flavor of yoshiya nobuko's writing that is just perfect to me. something about the luxurious description #and the fragmented force of phrases linked by punctuation gaps......i don't know! it's just wonderful! #i feel like i don't really know how to post things so they'll actually catch eyes anymore #just take my word for it that you DESPERATELY want to read yoshiya nobuko

[gyunikum]

Bonus Slow Mo under the cut:

#Eyes on fire #Your spine is ablaze #Felling any foe with my gaze #And just in time #In the right place #Steadily emerging with grace #käärijä #jere pöyhönen #bojan cvjetićanin #bojan #joker out #esc2023 #eurovision #whether it was just surprise or something else that caused bojan to have this reaction doesnt really matter #because its such a genuine and wholesome reaction #can't take his eyes off jere

[randomwriteronline]

You know its true that out of the four stone toa we know Onewa is the exception due to being An Asshat but i think we could focus more on Pouks being the white sheep of a flock of goats. Hes the only one of them who was like, formally employed and working an actual job as a toa. His siblings are just his coworkers. I dont think he knows a sport. He was so glad Pohatu and Hewkii were nothing like Onewa for all of twelve seconds before dreadfully discovering that they are exactly like Onewa, just in previously unimaginable ways, such as the batshit circumstances of their toahood and accidentally kicking a ball into each others face at mach speeds for fun

#bionicle #onewa #pouks #pohatu #hewkii #random talks #pouks is like oh finally some nice pleasant boys im surprised onewa could raise them like that ahah #only to see them perform some Inscrutable Meathead Ritual with their turaga and ruefully going ah. no yeah theyre definitely his proteges #they invite him to play kohlii and hes like 'oh sure um what are the rules?' #and they stare at him dead in the eye for five minutes before seizing him for an EMERGENCY KOHLII CRASH COURSE #hewkii: ok we're gonna play the post-bohrok version for this-- #pohatu: noooo lets play classic #hewkii: we CANT play classic youve got Armored Feet and hes as frail as a desert rose you would KILL HIM #pohatu: but i like classic better!!!!!!!! #hewkii: so do i!!!!!!!! #pohatu: then lets play classic!!!!! #hewkii: NO YOUD KILL HIM!!!!!!!!! #pouks (growing more afraid by the minute): this is fine

[moddieeee]

As my silly little Australian Paramore tour came to a close yesterday it only felt appropriate to finally post these uwu

I'd been working on these for a while! So it's good to finally share them with the world and maybe even tease some potential future endeavours...

EDIT: now with added AWKIF and S/T eras that I properly finished!!

#Paramore #hayley williams #fanart #mod arts #this is why #after laughter #self-titled #brand new eyes #riot #riot! #all we know is falling #AWKIF #BNE #S/T #TIW #AF #All I wanted #Grudges #emergency #misery business #grow up

[izzenithal]

this is a robin hobb callout post

#Robin hobb #fitzloved #rote #realm of the elderlings #like lbr robin #look at your boy and look me in the eye and tell me he is straight #also i emerged from a nyquil coma to draw this pls appreciate #books #fanart #kind of? #my art #comic #queer #queer studies

[puppetmaster13u]

Prompt 145

Vlad has finally gotten Daniel as a son! It’s wonderful, it’s great, it’s… actually really disheartening in how it happened. Maddie and Jack and Jazz are dead. He knows he said he wished for Jack’s death, but now that it’s happened he just feels… empty. 

Empty in a way reflected by Danny, a deep echoing void gnawing from their very cores, made worse the longer they stay in Amity. In a place where the more metaphorical ghosts wander seemingly everywhere. 

He always wanted a family Danny as a son, but now he’s uncertain as to what to do. Therapy and counseling is out of the question, not with the entire Spectra situation, nor with the fact that they aren’t exactly normal people. It’s not like they can ever talk about the soul-rending agony of dying, and then somehow not, going against the laws of reality itself. 

So he moves them, gets into contact with Ellie along the way. Another mistake he made that nearly worsens the cracks in his very Core whenever he thinks of it. They can’t go to Wisconsin- too many memories there as well, so they need to settle somewhere, anywhere else. 

Which is how he ended up purchasing a semi-old manor in Gotham, previously owned by… someone, the Dragons, Dreks, Drinks, something. It’s hard to remember things when he’s pushing all his energy to care for the younger halfas in the way he should have from the very beginning. 

It’ll take a while, but hopefully… Hopefully he can make everything alright. No more heroing or villianing, just… figuring out how to be a better person, if not for himself or the kids then for his late friends. 

#dcxdp #dpxdc #prompts #vlad has regrets #they're all grieving even if Ellie never met Maddie or Jack #She misses Jazz #Gotham is probably not the first choice to move for most #But they just needed to leave and find some place to disappear from the public eye for a while #The batfam are now their neighbors who are trying to find information #meanwhile the Masters could care less #they are Grieving #And want to practically curl up in a corner and never emerge #redeemed vlad #or at least in progress redeemed vlad #he's working on it even if his business practices aren't the most clean

[glow-worms-are-believers]

Meltdown meet-cute (dp x dc)

Steph was cold and hungry. Which honestly, was pretty par for the course for a stakeout. At her side Cass was standing as still as the gargoyle up in Bristol, and had been unmoving for what felt like forever. Cass really was just inhumanely good. Letting out a fond huff, Steph turned back towards their current target for the night.

They had chased a tip that the warehouse was a base of operation for some human trafficking ring that was coming through Gotham. Now it was only a matter of timing the guards and casing the place to make the take-down quick and efficient. Though with Cass here, that was almost a given.

"How was ballet?" Steph asked as they waited for the new people to come in.

"Good," Cass answered and it sounded like she was smiling behind her mask.

"I'm so hyped for your next recital," the blond said. "Maybe they'll let you do Laurencia variation you showed me last time."

"Not yet," the other girl answered fondly. "More practice."

Then, before Steph could answer, Cass spoke up again. "Look."

One of the man had looked at his watch and was turning to the other guard. Time was almost up, then.

"Showtime," Steph said as she let a smile stretch on her face.

Simultaneously, both girls jumped off their perch and fell towards the warehouse. Grapple-guns made noises and the drop wasn't high enough that they couldn't just roll off the impact, so that was what they did. Getting back to their feet, they silently crept towards the eastern front of the building where the blueprints had shown there would be a high-placed window for aeration (thank you, Oracle).

Steph dangled down as she broke the latch open, as Cass kept a lookout. Silently both vigilantes slipped in and landed softly on the ceiling metal beams. There were big crates piled up beneath them, but none big enough to contain human beings. Then, Cass nudged her and Steph turned to see those long metal shipping container.

Bingo.

Still up in the rafters, the two quietly moved towards the two big metal boxes. Making sure no guard was around, the two vigilantes dropped down and broke the lock swiftly. They started opening the doors with the things being rusted enough to make a noise Steph winced at. Finally, they got it open, only to be met by an empty container, with zip-ties littering the bottom of the box.

Had someone beaten them to the rescue or had the people been moved?

The two bats exchanged a glance before Steph nodded towards the other container as Cass nodded. They both moved to the other box and made quick work of the lock and the door, and this time they could make out one form in the very back of the container, seemingly glowing slightly green. Maybe some guard with a conscience had slipped in a glow stick in to ward off the complete darkness.

"Hello," Steph started. "My name's Spoiler and this is my friend Black Bat. We're here to help."

As she talked she and Cass walked closer and pulled out their low-level flashlight, casting a little light around. They could now make out what seemed like the frame of a small person, possibly a kid.

"Can you hear me?" Steph said as she inched forward.

With still no response, she took the chance to put a hand on the person's shoulder and gently guiding them into turning around. As the person came into view, Steph couldn't hold in a gasp.

It was a young girl, looking around 13-14 years old, but the truly horrifying thing was that where her legs should be, there was only a puddle of fluorescent green goop.

"Please," the girl begged as she turned imploring blue eyes on Steph. "Help me."

#dc x dp #dp x dc #danny phantom #batman #stephanie brown #cassandra cain #dani phantom #dani did in fact evacuate everyone out of there #she doesn't have her emergency ecto-dejecto coz it was lost when she got taken along with her phone #so now she's overextended her powers and she has no way of reaching Danny and is freaking out just a little #Steph and Cass are freaking out a bit more than a little #that girl is turning into goop right before their eyes and they don't know what to do #roxpox #roxpoxwrote