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Author: Denise Ramponi, RN, CEN, CRNP, MSN
Publication: Nursing2000, Volume 30, Number 8
This article presents the use of the Morgan Lens using text and photographs, as well as providing general information on chemical eye burns. The introduction to the article is presented below:
“YOU’RE WORKING in the emergency department and receive a call from the lab: A technologist in the chemistry department has splashed acetic acid solution in her right eye and is on her way down. You quickly grab your eye emergency equipment.
When someone gets a chemical in her eye, you can help prevent damage to the cornea by irrigating the eye and restoring its normal pH. You could do this by prying open her eyelids and administering a flush solution through intravenous (IV) tubing, but this technique calls for constant attention and the use of both hands. Fortunately, you have another option.
In this article, I’ll review how to use the Morgan Lens, a molded plastic device that fits over the eye and through which you can flush irrigating solution. When properly placed, the Morgan lens rests between the cornea and the eyelid and solution instilled through the attached tubing irrigates both surfaces. Continuously bathed with fluid, the cornea remains untouched by the lens itself.”
I have always found the Morgan Lens to be beneficial especially to patients who arrive in the ED with complaints of foreign body in the eye. After a rapid triage evaluation, MD exam, tetracaine for the eye, the patient is not in any distress and the Morgan Lens is helpful in removing foreign bodies.Registered Nurse (New York)
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.