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Author: Garcia GE
Publication: Am Fam Physician 1996 Feb 1;53(2):565-74
Evaluation of the patient with an acute eye problem begins with documentation of the level of vision in each eye, except in the case of a splash injury. In such cases, immediate copious irrigation is of critical importance. Subconjunctival hemorrhage is common and, typically, completely benign. Herpes simplex infection is painful and can lead to extensive damage. Herpes zoster infection is usually accompanied by skin lesions and can be effectively treated with oral acyclovir or famcyclovir. In patients with Bell’s palsy, the eye must be carefully protected to prevent secondary injury. Corneal abrasions heal rapidly when antibiotics and patch protection are provided. Acute infections of the eyelids and conjunctivae usually respond well to topical antibiotics and warm compresses. Traumatic injuries require careful evaluation and, often, referral to an ophthalmologist.
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.