Eye Emergencies
Eye emergencies include cuts, scratches, objects in the eye, burns, chemical exposure, and blunt injuries to the eye or eyelid. Since the eye is easily damaged, any of these conditions can lead to vision loss if left untreated.
It is important to get medical attention for all significant eye or eyelid injuries and problems. An injury to the eyelid may be a sign of severe injury to the eye itself. Many eye problems (such as a painful red eye) that are not due to injury still need urgent medical attention.
A chemical injury to the eye can be caused by a work-related accident or by common household products, such as cleaning solutions, garden chemicals, solvents, or many other types of chemicals. Fumes and aerosols can also cause chemical burns.
With acid burns, the haze on the cornea often clears with a good chance of recovery. However, alkaline substances -- such as lime, lye, commercial drain cleaners, and sodium hydroxide found in refrigeration equipment -- may cause permanent damage to the cornea. Ongoing damage may occur in spite of prompt treatment. It is important to flush the eye with clean water or saline while seeking urgent medical care.
Dust, sand, and other debris can easily enter the eye. Persistent pain and redness indicate that professional treatment is needed. A foreign body may threaten your vision if the object enters the eye itself or damages the cornea or lens. Foreign bodies propelled at high speed by machining, grinding, or hammering metal on metal present the highest risk.
A black eye is usually caused by direct trauma to the eye or face. Certain types of skull fractures can result in bruising around the eyes, even without direct trauma to the eye. The bruise is caused by bleeding under the skin. The tissue surrounding the eye turns black and blue, gradually becoming purple, green, and yellow over several days. The abnormal coloring disappears within 2 weeks. Usually, swelling of the eyelid and tissue around the eye also occurs.
Occasionally, serious damage to the eye itself occurs from the pressure of the swollen tissue. Bleeding inside the eye can reduce vision, cause glaucoma, or damage the cornea.
First Aid
Knowing what to do for an eye emergency can save valuable time and possibly prevent vision loss. Here are some instructions for basic eye injury first aid.
Be Prepared
• Wear eye protection for all hazardous activities and sports-at school, home, and on the job.
• Stock a first aid kit with a rigid eye shield and commercial eyewash before an eye injury happens.
• DO NOT assume that any eye injury is harmless. When in doubt, see a doctor immediately.
Chemical Burns to the Eye
In all cases of eye contact with chemicals:
• Immediately flush the eye with water or any other drinkable liquid. Hold the eye under a faucet or shower, or pour water into the eye using a clean container. Keep the eye open and as wide as possible while flushing. Continue flushing for at least 15 minutes.
• DO NOT use an eyecup.
• If a contact lens is in the eye, begin flushing over the lens immediately. This may wash away the lens.
• DO NOT bandage the eye.
• Seek immediate medical treatment after flushing.
Specks in the Eye
• DO NOT rub the eye
• Try to let tears wash the speck out or use an eyewash.
• Try lifting the upper eyelid outward and down over the lower lid.
• If the speck does not wash out, keep the eye closed, bandage it lightly, and see a doctor.
Blows to the Eye
• Apply a cold compress without putting pressure on the eye. Crushed ice in a plastic bag can be taped to the forehead to rest gently on the injured eye.
• In cases of pain, reduced vision, or discoloration (black eye), seek emergency medical care. Any of these symptoms could mean internal eye damage.
Cuts and Punctures of the Eye or Eyelid
• DO NOT wash out the eye with water or any other liquid.
• DO NOT try to remove an object that is stuck in the eye.
• Cover the eye with a rigid shield without applying pressure. The bottom half of a paper cup can be used.
• See a doctor at once.
For more information on first aid for eye emergencies contact your primary health care provider or speak to a home care specialist at Right at Home High Point. Right at Home can work with you and your health care provider to provide your loved ones with the care they need.
Resources:
Prevent Blindness
Medline Plus
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