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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.
I just wanted to tell you that your device you gave me in San Francisco has already gone into action with great success. A heavily infected, perforated eye, 24 hours old, with starting panophthalmitis (trauma with a wooden chip from a pork stable!) arrived yesterday. After surgical repair I fitted your Morgan Lens and started with Chloramphenicol, Decadron in lactated Ringer's solution. To my great astonishment, the eye today had quieted down, the patient was without any pain, and the panophthalmitis seems to have disappeared to a large extent. I wished I could donate you an automated perimeter in return!Physician-Ophthalmologist (Switzerland)
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.