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Author: Nelson JD, Kopietz LA.
Publication: Postgrad Med. 1987 Mar;81 (4):62-6, 69-71, 75
The first step in treatment of chemical injuries to the eyes is immediate, thorough, and if necessary, prolonged irrigation. Ophthalmologic consultation should be obtained early in the course of treatment, and in severe injuries an anterior chamber tap (paracentesis) may be of benefit. Topical cycloplegics and antibiotics should be administered and a “bandage” contact lens placed to protect the corneal epithelium. If the eyelid is involved, care must be taken to protect the cornea and provide a moist local environment. Long-term care of a severely injured eye is fraught with difficulties, including glaucoma and recurrent corneal ulcerations.
Thanks for the opportunity to sing the praises of the Morgan Lens! Those of us who have been in the field for a while wonder what we ever did without them! We find two general uses for the lenses. One is for contact irritation: most typically, splashes. After local anesthetic, for ease of insertion, the lenses fit comfortably on patients of all ages and provide gentle and thorough irrigation of irritant substances. We have many cases of this type. The second most common use is for patients show suffer multiple injuries due to automobile accidents, major trauma, burns, falls, etc. Not only does the lens thoroughly irrigate the eye, removing most or all of the debris that has accumulated, it more importantly frees up the nurse's hands so that she can perform other lifesaving functions. Quite frankly, eye irrigation was treated as "the bottom of the list" often because other patient's other injuries were more devastating with higher morbidity and mortality. Particularly in the burn patient, the soothing effect of the irrigation and potential to prevent infection or further injury, make it an easy to use, valuable asset for patient care.Registered Nurse (Montana)
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.