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Management of Ocular Emergencies and Urgent Eye Problems

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.

Author

Garcia GE

Publication

Am Fam Physician 1996 Feb 1;53(2):565-74

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-Once I had an exposure while give a patient a medication through a saline lock.  The syringe backed out slightly and when I gave the med a little push it sprayed into my eyes.  It burned, so I immediately flushed my eyes.  A co-worker instilled a Morgan lens to each eye and ran sterile N.S. and I felt immediate relief.

-A local trauma surgeon and avid woodworker complained of irritation to his eye for several days.  The eye was obviously irritated.  After being examined by an emergency department doctor for a foreign body, and finding none, we irrigated the eye using the Morgan Lens.  The surgeon found the lens to be comfortable, and after irrigation the eye felt better.  Two days later his eye was better without redness or irritation.

-An employee of the hospital where I work had a car battery explode in his face.  An eye irrigation was set up and initiated with the Morgan Lens.  He felt much better and commented on the soothing feeling of the sterile saline irrigation.

Registered Nurse (California)

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.