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CHAPTER 114 ■ OCULAR TRAUMA KENNETH A MICHELSON, ANKOOR S SHAH GOALS OF EMERGENCY CARE The clinical evaluation of children with eye trauma should focus on the prompt recognition of the most severe eye injuries without causing additional damage to the eye, and the initiation of timely ophthalmology consultation The most important goal is to mobilize quickly any necessary resources needed to preserve vision ( Table 114.1 ) A secondary goal is identification and treatment of minor ocular injuries KEY POINTS Prioritize and stabilize airway, breathing, and circulation—the management of life-threatening injuries must be prioritized over any eye injury, and the proximity of vital structures of the airway and the intracranial vasculature require all practitioners to consider this before assessing the eye The first step in the examination of the traumatized eye should be to assess the visual acuity of both the injured and the unaffected eye Ensure the structural integrity of the eye quickly and rule out the presence of an open-globe injury RELATED CHAPTERS Signs and Symptoms Eye: Red Eye: Chapter 27 Eye: Strabismus: Chapter 28 Eye: Unequal Pupils: Chapter 29 Eye: Visual Disturbances: Chapter 30 Medical, Surgical, and Trauma Emergencies Child Abuse/Assault: Chapter 87 Neurotrauma: Chapter 113 Ophthalmic Emergencies: Chapter 123