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Author: Kuckelkorn R, Schrage N, Keller G, Redbrake C. Department of Opgthalmology, Universitatsklinikum der RWTH Aachen, Germany.
Journal: Acta Ophthalmol Scand. 2002 Feb;80(1):4-10.
Abstract: Chemical and thermal eye burns account for a small but significant fraction of ocular trauma. The speed at which initial irrigation of the eye begins, has the greatest influence on the prognosis and outcome of eye burns. Water is commonly recommended as an irrigation fluid. However, water is hypotonic to the corneal stroma. The osmolarity gradient causes an increased water influx into the corneal structures. We therefore recommend higher osmolarities for the initial rinsing to mobilize water and the dissolved corrosives out of the burnt tissue. Universal systems such as amphoteric solutions, which have an unspecific binding with bases and acids, provide a convenient solution for emergency neutralisation. Both conservative anti-inflammatory therapy and early surgical intervention are important to reduce the inflammatory response of the burnt tissue. In most severe eye burns, tenonplasty re-establishes the conjunctival surface and limbal vascularity and prevents anterior segment necrosis.
An ambulance was dispatched to a local industry for a worker who had been sprayed in both eyes with brake fluid under pressure. On scene, our paramedic inserted bilateral Morgan Lenses. He proceeded to flush both eyes simultaneously with approximately 1500 cc N.S.S. on the way to the hospital. The patient tolerated the entire procedure very well, felt much better, and an examination of the patient's eyes, after the Morgan Lens removal, showed no tissue damage. The patient had a full recovery with no complications, thanks to the availability and efficiency of the Morgan Lens system.Registered Nurse (New Hampshire)
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.