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.”
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Three Army soldiers were on their way to us following an explosion of an improvised device. The driver had goggles on and suffered extensive facial trauma and all three had eye injuries from the debris that hit them. We got bilateral Morgan Lenses in all three and flushed each with several liters of LR. Followed with antibiotics, they were rebandaged and on an emergency air evacuation that evening. These men were grateful for the care they received. The technicians and physicians here are thankful that everyone knew what to do to get the lens system set up and running. I am grateful to you for the opportunity to access the class online and ability to present it shortly after we arrived. One of the others did have a corneal laceration that we could assess after flushing. We feel confident that all will have the best outcomes thanks to the Morgan Lens use.
We also had a patient who experienced an electrical explosion (a generator) to his face. We used Morgan Lenses to irrigate his eyes and sent him on an air evacuation flight to Germany. He has since returned to duty and is doing well with minimal residual sight loss.
Military Registered Nurse (Active Duty)
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.