Eye trauma

The following information provides a guide for GPs on how to manage or make a referral for presentation of Eye trauma in children.

GP Management

Assess eye appearance, pupil reactions and shape, any serious bruising or limitation eye movements.

Assessment: G fluorescein 2% plus white light (blue light better if available) to:

• Highlight epithelial defect (abrasion)
• Detect aqueous leak

Treatment for abrasion:

• Chloramphenicol ointment three times a day or drops four times a day for 5 days
• Ask patient/ parent to contact Moorfields Attend Anywhere portal (via Moorfields website) if symptoms not improving (child not comfortable to open the eye, persistent pain) or vision reduced after 48 hours
• If symptoms recur, or eye becomes gritty/irritable after initial healing, prescribe night eye ointment at bedtime, for three months.

Referral information

• Always include:
• Child’s date of birth
• Address
• Child’s social worker details (including Borough), any safeguarding concerns following trauma
• Parent/carer contact phone number and email

Further Assistance

This pathway has been produced by Moorfields Eye Hospital NHS Foundation Trust to help clinicians manage the healthcare of children and young people. However, if you need to contact a paediatric clinician, please see below for contact details:

Moorfields Eye Hospital:

Paediatric helpline: 0207 2533411 extn 4569, Mon- Fri 10:00am-13:00pm then 14:00pm-16:00pm