1. Added background, eye history and teleophthalmology sections for evaluating MWDs with ocular injuries.
2. Elaborated on different ocular injury types (chemical injury, intraocular versus corneal or conjunctival foreign bodies) and added additional types of injuries (hyphema, orbital fracture, open globe injury, thermal burn) with expanded recommended treatment guidelines.
3. Added procedures section with information about continuous irrigation.
4. Added Performance Improvement Monitoring guidelines and Class VIII Appendix.
5. Updated and added new references.