What if the foreign body: iron scale, metal shavings, mote or eyelash has got into the eye? It is necessary to remove the foreign body from the eye as soon as possible and do it correctly, without putting it even deeper.
A mote or eyelash is a common thing, it's easy to remove it at home or go out with a tear, but what about when a splinter of wood or metal implanted into the cornea of the eye. .. Here the situation is more serious.
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Foreign bodies
Remember: a tree or any organic matter( organic matter) should be extracted from the eye as quickly as possible. The same can be said about copper and aluminum shavings. One day does not have time to pass, as toxic products of oxidation of non-ferrous metals enter into a chemical reaction with living tissue and eye fluids, complications very severe - blindness or complete loss of the eye.
Iron or steel shavings, scales that have flown off the welding slag, can still stay in the eye for a couple of days, although a bedsore develops, and rust appears.
Wood chips from the Bulgarian
I had different cases in my practice. People came with bits of brick, coal, stone stuck into the cornea. Coal and brick from the eye to remove heavily - crumble, until you choose. But, the most difficult, I think, is to remove the metal splinter from the bulgarian. Hot metal in the form of a spark enters the open eye and quickly dies out in it and cools. Penetrates the foreign body deeply, when removed, breaks off, crumbles. You have to pick and pick with a needle with a syringe under the constant digging of 2% lidocaine into the sick eye, with you and the patient sweating, hands shaking.
How to remove, remove scale, if it has got
Remove the foreign body when inserted into the outer shell of the eye - with a needle from a two gram syringe. Even the "spear" ophthalmic should not be used, it unfolds the corneal tissue, the needle work is much more accurate.
It is impossible: to remove from the eye foreign bodies with a match, tongue, risky with a cotton swab - you can shove a foreign body even further.
If someone before you climbed into the eye with a tongue - do not even remove the scale( shavings, splinter).If there is inflammation after contact with the tongue, a person will remove the eyeball, and in this can blame you, because you are the last one who tried to help a person with a needle and an anesthetic, and about the "people's" healer and will not remember that it was he who caused the infection!
Remember: if you have a foreign body, you can not:
- rub eyes,
- often blink,
- screw eyes,
- rinse eyes with tap water,
- drip honey, aloe juice and other folk remedies.
If scales or chips appear in the eye, they remove it in the ophthalmological office of the eye doctor. Remember that the patient should be vaccinated against tetanus.
Technique for removing the foreign body of the cornea
- Hand treated with soap and 70% alcohol.
- Opened the ampoule with a 2% solution of lidocaine, pulled it into a sterile 2.0 gram syringe, detached the needle and injected 2 drops of lidocaine into the sore eye from the nozzle of the syringe.
- After half a minute, remove the plastic cover from the needle, the index, middle and large fingers of the right hand, hold the needle behind the connector with the syringe nozzle.
- To safely pick in the cornea, you need to use your right hand( with a needle) to rub your palm on the cheekbone or cheek of the patient( in case the patient jerks forward, do not pierce his eye).
- With the opposite hand, we pull the upper or lower eyelid, and the patient is asked to look at the point without stopping( which one is selected from where the foreign body is, so that it would be convenient for us to access it).
- We direct the light of the lamp into the eye, the magnifying glass for monitoring is still useful.
- The tip of the needle is picking on the foreign body, trying to unhook it from the cornea.
- Do not be afraid, the cornea is very strong, like a tarpaulin, though it can be accidentally punctured.
- So skrjabajem and skrjabaj pulling out pieces of a foreign body, cleaning a wound of a cornea.
- If necessary, digest lidocaine still.
- After removal, we instill drops with antibiotic or sulfanilamide: tsipromed, albucid.
- It is good to apply 1% tetracycline eye ointment.
- We write: buy jelly actovegin or solcoseryl and let the patient drip it to himself according to instructions for use after instilling drops with antibiotic.
- Usually heals all well.
- Do not remove scale, metal shavings at home, if the patient told you that someone before him came to you trying to remove the tongue. Write down all the flaws on you! Although you will not have anything to do with it.
After removal, the doctor prescribes eye drops with an antibiotic, for example tsiprolet, tsipromed, levomitsetinovye drops and others. When wounded on the cornea, it is useful to lay the gel of solcoseryl or jelly actovine for accelerated healing of the cornea without scars in the lower eyelid.
If eyelashes, sawdust, midge are caught in the eye, and they can not stick, then blink quickly, pull the upper eyelid outward, stimulating lacrimation. The foreign body will gradually wash the tear, and you will remove it from the corner of the eye with a cotton swab.
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What if the scale, or shavings, got into the eye?
Video channel of Alexey Lukyanov tells about what to do if the scale( metal shavings) got into the eye? We provide the answer of the ophthalmologist on the website of the Moscow Eye Clinic for this issue.
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Always observe safety procedures when welding! Take care of yourself, colleagues! A demonstration video is provided, using a medical ophthalmological toolkit to pull out the metal scale( slag from the welding metal) from the victim's eye.
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