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Author: Murphy JC, Osterberg RE, Seabaugh VM, Bierbower GW
Journal: Toxicology 1982;23(4):281-91
Abstract: Acids and alkalis were instilled into the eyes of 2 groups of rabbits; the eyes of one group were washed with tap water 30 s after exposure. Damage seen in washed and unwashed eyes was not always related to pH. Some strong acids with greater acidity than pH 2.5 produced opacities while 0.3% hydrochloric acid with a pH of 1.28 produced no ocular damage. Phenol (5%) and acetic acid (5%) with pHs greater than 2.5 produced damage equivalent to or greater than that produced by equal concentrations (w/v) of the mineral acids. All alkalis with pHs ranging from 11.5 to 13.5 produced opacities and other ocular damage of different degrees depending upon the alkali and its concentration. For example, low concentrations of some alkalis in the pH range from 11.3 to 12.8 produced no ocular changes. The duration of the corneal opacities produced by phenol, 1% sodium hydroxide, acetic acid and anhydrous sodium carbonate and the onset of corneal opacity produced by 5% sulfuric acid, the weak acids and 1% sodium hydroxide were reduced as a result of washing the test eyes 30 s after instillation of the test material. These data suggest that acidity and alkalinity of the test material are not the only factors to be considered in relation to a substances’ capacity to produce severe ocular injury. The concentration of the test chemical and its period of contact with the eye prior to washing are also important.
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.