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Author: Dr. Roberto Bellucci, MD, Ospedale di Verona, Unita Operativa di Oculistica, Piazzale Stefani 1, 37126 Verona, Italy
Publication: Ocular Surgery News, February, 2002
A Morgan Lens, which is traditionally used for short, 1-to-2-day treatment of corneal alkali burns, can be used for longer periods of up to 15 days, according to physicians here. This article describes the treatment of a suspected pseudomonas Aeruginosa infection in a 17 year old male. Systemic and local treatments were not effective, so a Morgan Lens was used to continuously deliver antibiotics (Amikacin, ceftriaxone, and piperacilline in saline) to the eye. The eye was stable the following day and was pain-free after the second day. Treatment was continued for a total of 11 days, and recovery was complete with no drawbacks noted from the prolonged use of the Morgan Lens.
Five additional patients were seen in the following year, all soft contact lens wearers with similar infections. All were treated with the Morgan Lens, with “excellent results” in all cases and no adverse effects seen. Dr. Rosa concludes with the statement “The Morgan Lens has now entered in our standard protocols of treatment for corneal infection. I believe those eyes would have been lost without continuous irrigation with antibiotics. Moreover, the amount of parenterally injected antibiotics could be greatly reduced, with consequent benefits for the general state of health of our patients.”
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.