From the American Society of Ophthalmic Trauma
A guide for emergency, inpatient surgical, and hospitalist collaborative teams.
Jointly caring for ophthalmic patients.
Start from the presentation. Pick the symptom, check the visual vital signs, and get a red, yellow, or green light for how soon ophthalmology needs to see the patient, built for teams without in-house eye coverage.
Open the symptom pathway →Go straight to condition-specific guidance — first moves, what to avoid, imaging, and disposition — from lateral canthotomy for retrobulbar hemorrhage to open globe precautions.
Browse diagnoses →Four steps before any consult. Two minutes of structured assessment gives the ophthalmologist what they need to help you from anywhere.
Mechanism, timing, laterality, prior ocular surgery or vision baseline, anticoagulation, and the systemic context the consultant will ask about first.
Vision, pressure, pupils — recorded and handed off like any other vital sign.
Each eye separately, with correction if available. Use the online near card at bedside.
Open near card →Video →Tonopen technique and recalibration.Do not check if open globe is suspected.
Video →A labeled reference so your exam findings translate — lids, globe, anterior chamber, and orbit, each with an illustration.
Vision, pressure, and a clear story answer most consults on their own. When imaging is genuinely indicated, external photos and the right CT protocol can make a remote consult decisive. What to capture, when to capture it, and how to share it.
Filter by the team you are on. Each entry opens a quick reference: pertinent history, visual vital signs, focused anatomy, imaging if needed, treatment, follow up, and red flags. Where an ASOT resource covers the topic in depth, the quick reference links out to it.
Seven entries are built out to show the proposed format. The remaining fifteen are in development, grouped here by injury, red eye, infection, posterior segment, and neuro-ophthalmic presentation. The list will keep growing, and entries will be added, split, or cut with input from emergency, trauma, and hospital medicine teams. Each page is authored by an ASOT member and reviewed before publication.