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Author: Denise Ramponi, DNP, FNP-C, ENP-BC, FAEN, FAANP, CEN
Publication: Advanced Emergency Nursing Journal, Volume 39, Number 3, pp. 193-198
Chemical burns of the eye are one of the most common eye injuries. The extent of the ocular surface damage is influenced by the type, temperature, volume, and pH of the corrosive substance and duration of exposure. Limbal ischemia found on eye assessment is the primary determinant of eventual visual outcome. Eye irrigation must be instituted immediately at the scene of exposure and continued in the emergency department to reduce visual impairment. Traditional lactated Ringer’s and normal saline have been used as irrigation fluids, although one systemic review demonstrates similar outcomes with other irrigation fluids. The Morgan Lens is a device that can be utilized to allow the provider to perform “hands-free” eye irrigation. Complications of chemical burns are more common with alkali burns as these substances destroy the corneal epithelium and allow this corrosive base substance to penetrate deeper into the cornea.
I just spent three hours in the ER. The trip to the ER was precipitated by my getting a mixture of bleach, Mr. Clean and water in my left eye while scrubbing the soffits of the siding on my house. Whilst in the ER, I had my eye irrigated twice with a 0.9% solution of NaCl using the Morgan Lens to facilitate the irrigation. THANK YOU for creating the Morgan Lens. My eye felt so much better after the second round of irrigation, and it did take two rounds before the pH level in my eye returned to normal. I know companies always hear about the things that go wrong with their equipment. I want you to know that your equipment did something wonderful, and I want you to know how very much I appreciate it.Patient - Platteville, WI
The Morgan Lens is used in 90% of hospital emergency departments in the USA and can be inserted in less than 20 seconds. There simply is no other "hands-free" method of eye irrigation. Nothing else frees medical personnel to treat other injuries or to transport the patient while irrigation is underway. Nothing is more effective at treating ocular chemical, thermal, and actinic burns or removing non-embedded foreign bodies, even when the patient's eyes are closed tightly. Its design makes it simple and straightforward to use so minimal training is required.