The purpose of the survey is to assess the severity of the eye injury and to implement a management plan as needed. Radha Raman usual eye exam should be tried and may require topical anesthetic to be tolerable. Many topical agents cause burns during instillation. Proxymetacaine has the best tolerance.
The first step is to assess the external state of the eye and orbit and to check for perforations, hyphema, uveal prolapse or penetration of the globe. If the pupil is tear-shaped and the anterior chamber is flat, it is almost always a perforating lesion of the cornea or limb area