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REMOVAL PROCEDURE OF FOREIGN BODY IN THE CORNEA T . SITI HARILZA ZUBAIDAH
18

Foreign Body in Eye (Pp)

Jul 11, 2016

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Andi Herianto
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Page 1: Foreign Body in Eye (Pp)

REMOVAL PROCEDURE OF FOREIGN BODY IN THE CORNEA

T . SITI HARILZA ZUBAIDAH

Page 2: Foreign Body in Eye (Pp)

Foreign body• Any particle or material gets into eye.

• Superficial or penetrating.

• Metal particle, glass, wood, sand, dust particle.

• Incidence don’t vary according to sex.

Page 3: Foreign Body in Eye (Pp)

How do you get ? Superficial : - stick.

- trapped. - do not enter the eye.

May occur when working under a car or when outside on a windy day.

Not usually serious.

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• Penetrating : - penetrate. - enter the eye.

• Most occur during the act of grinding or hammering.

• Extremely serious.

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Signs/Symptoms Sharp pain followed by burning, irritation and

tearing.

Foreign body sensation.

Blurred vision.

Conjunctiva injection.

Mild upper lid edema.

Page 10: Foreign Body in Eye (Pp)

What does it feel like

• Superficial : very uncomfortable, cause eye irritation leading to reddish and watery eye.

• If it stuck beneath the upper eyelid, pain will go on increasing every time the eye closes.

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• Penetrating : less pain although much more serious injuries.

• The vision maybe reduced, but not always.

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Evaluation• Visual acuity.

• History of injury.

• Observe for foreign object.

• Evert the lids.

Page 13: Foreign Body in Eye (Pp)

How to remove?

• Apply topical anesthetic.

• Position the patient in the slit lamp.

• Ensure that his chin is in the chin rest and his head is against the head rest.

Page 14: Foreign Body in Eye (Pp)

Provide a fixation target for his opposite eye that positions his affected eye in the slit lamp microscope light beam.

Remove corneal foreign body with a moistened cotton tipped applicator if possible.

If this does not eliminate the foreign body then 25 gauge needle can be used with caution.

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Medical treatment Corneal abrasions give antibiotic eye drops or

ointment.

Abrasion > 50% treated with a patch.

Any noted damage to the iris, the lens or the retina requires immediately evaluation by ophthalmologist and may or may not require surgery.

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• A ruptured eyeball requires surgery by an ophthalmologist.

• If hyphaema noted requires close follow-up care with an ophthalmologist.

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PREVENTION

• Eye protection : - the best prevention. - always wear when working. - should cover all.