Chemical Eye Injuries in the Workplace. Prevention and Management

Author: Lusk PG

Journal: AAOHN J 1999 Feb;47(2):80-7; quiz 88-9

Abstract:

The majority of ocular burns are related to accidents at work. Acute ocular chemical injuries require immediate recognition and management.
Copious irrigation of the eye, done immediately at the scene, is the most important factor in the long-term prognosis of ocular chemical bums.
After irrigation has been completed and the eyes have been allowed to rest, visual acuity can be tested and referrals can be made to health care facilities and an ophthalmologist.
The nurse conducts health hazard assessments of the workplace, provides information about workplace chemicals and their risks, and ensures proper safety protective equipment and emergency supplies. Practicing emergency procedures such as irrigation is important.
The nurse monitors and analyzes injury exposure episodes and trends, along with coordinating referrals, treatments, and follow-up care for workers with ocular chemical burns.

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A 60-year-old female splashed cleaning solution in her eyes. She was irrigated with the Morgan Lens until pH returned to normal. Afterwards, she told me, "You know, contact lenses are a lot more comfortable than I thought. Maybe I should get some!". Her chemical conjunctivitis resolved nicely without sequelae. A clinical success.

Physician (Virginia)

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Why Use The Morgan Lens?

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.

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