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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.”
Thanks for the opportunity to sing the praises of the Morgan Lens! Those of us who have been in the field for a while wonder what we ever did without them! We find two general uses for the lenses. One is for contact irritation: most typically, splashes. After local anesthetic, for ease of insertion, the lenses fit comfortably on patients of all ages and provide gentle and thorough irrigation of irritant substances. We have many cases of this type. The second most common use is for patients show suffer multiple injuries due to automobile accidents, major trauma, burns, falls, etc. Not only does the lens thoroughly irrigate the eye, removing most or all of the debris that has accumulated, it more importantly frees up the nurse's hands so that she can perform other lifesaving functions. Quite frankly, eye irrigation was treated as "the bottom of the list" often because other patient's other injuries were more devastating with higher morbidity and mortality. Particularly in the burn patient, the soothing effect of the irrigation and potential to prevent infection or further injury, make it an easy to use, valuable asset for patient care.Registered Nurse (Montana)
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.