W. Va. Code R. § 85-20-30

Current through Register Vol. XLI, No. 24, June 14, 2024

Section 85-20-30 - Treatment Guidelines: Orbital Contusion

30.1. An orbital contusion is usually a result of blunt trauma causing swelling and ecchymosis of the orbit not associated with any fractures or significant lacerations.

30.2. The diagnostic criteria consists of a history of a blunt trauma to the ocular area, with progressive swelling of the lids, ptosis, proptosis of the eye and diplopia.

30.3. The appropriate diagnostic tests and examinations consist of:

a. Comprehensive examination, including an assessment of visual acuity, slit lamp examination, and a dilated fundus examination;

b. Orbital x-rays; and

c. CT scan may be indicated.

30.4. The appropriate treatment is as follows:

a. Outpatient treatment is appropriate in injuries without complications. Treatment includes analgesics, ice packs and systemic antibiotics as indicated.

b. Diminished visual acuity or severe pain may indicate a more extensive injury and may warrant inpatient treatment for further evaluation and treatment.

30.5. In uncomplicated cases the estimated return to work is one to two days. Disability may be longer if diplopia or ptosis persists.

30.6. The anticipated outcome is resolution of the swelling and diplopia with return of normal ocular motility.

W. Va. Code R. § 85-20-30