Exophthalmos (Proptosis)
Exophthalmos (proptosis) is abnormal eye protrusion, often from Graves disease or orbital lesions. Urgent assessment is needed to prevent vision loss.
Category FFS
Dacryocystitis
Acute dacryocystitis is a painful infection of the nasolacrimal duct, often with swelling, discharge, and risk of abscess or orbital cellulitis.
Corneal foreign bodies
Corneal foreign bodies present with pain, watering, and irritation. Remove under anaesthesia, exclude penetrating injury, and arrange follow-up.
Acute Bacterial Conjunctivitis
Bacterial conjunctivitis is common and treatable, but screen for serious infections like gonococcus, meningococcus, and trachoma in high-risk patients.
Acute Loss of Vision: Non-Traumatic
Acute loss of vision is an ophthalmic emergency. Assess urgently. Persistent or unexplained cases require immediate specialist ophthalmology input.
Acute Loss of Vision: Non-Traumatic (chart)
Acute non-traumatic loss of vision is an ophthalmic emergency. All patients require urgent assessment, and persistent deficits mandate immediate ophthalmology referral.
Acid and Alkali Burns to the Eye
Chemical eye injuries are emergencies. Immediate irrigation, category 2 triage, and ophthalmology input are critical to preserve vision and minimise damage.
FFS: Wernicke Encephalopathy
Wernicke encephalopathy is an acute, reversible condition due to thiamine deficiency. Prompt treatment prevents progression to Korsakoff’s psychosis
Tardive dyskinesia
Tardive dyskinesia is a chronic, often permanent, hyperkinetic movement disorder caused by dopamine-blocking drugs—preventable with early detection and VMAT2 inhibitors.
Transient Global Amnesia
Transient global amnesia (TGA) is a clinical syndrome of reversible anterograde amnesia. It is an isolated disorder of memory function, generally resolving within 24 hours with a benign prognosis.
FFS: Amaurosis fugax
Amaurosis fugax is sudden, painless, transient monocular vision loss from retinal ischaemia—an emergency signalling high stroke risk, requiring urgent carotid evaluation and stroke unit admission
Transient Ischaemic Attack
TIA is a brief neurological event with high stroke risk. Urgent imaging, specialist review, and early treatment are critical to prevent ischaemic stroke