Eye - Foreign Body In

Symptoms

DEFINITION

• A foreign body (FB) or object becomes lodged in the eye
• The main symptoms are irritation, pain, tearing and blinking

General Information

• Foreign bodies in the eye need to be removed, as they can damage the eye.
• The most common objects that get in the eye are an eyelash or a piece of dried mucus ("sleep").  Particulate matter such as sand, dirt, sawdust, or grit can be blown into the eyes. Tree and plant pollen can also get blown into the eyes.
• Rubbing the eye can lead to the foreign object scratching the cornea (clear part in center of eye).

See More Appropriate Topic (instead of this one) If

• A chemical splashed into your eye, read EYE, CHEMICAL IN
• No foreign body and EYE, PUS OR DRAINAGE is your main concern

FIRST AID Advice for Glass Fragments on the Eyelids:

• Method 1: Bend forward and close the eyes. Have someone blow on the closed eyelids to get the flakes of glass off the skin.
• Method 2: Another technique is to touch the flakes of glass with a piece of tape.
• To get off any remaining glass, splash water on the eyelids and face. Cover the eyes with a wet washcloth. Do not rub your eyes.

Should I Call?

WHEN TO CALL YOUR DOCTOR

Care at Home

HOME CARE ADVICE

Removing a Foreign Body from the Eye

1. Treatment for Numerous Particles (such as dirt or sand):
   • Clean around the eye with a wet washcloth first.
   • Try to open and close the eye repeatedly while submerging that side of the face in a pan of water.
2. Treatment for a Particle in a Corner of the Eye: Try to get it out with a moistened cotton swab or the corner of a moistened cloth.
3. Treatment for a Particle Under the Lower Lid:
   • Pull the lower lid out by pulling down on the skin over the cheek bone.
   • Touch the particle with a moistened cotton swab.
   • If that doesn't work, try pouring water on the speck while pulling the lower lid out.
4. Treatment for a Particle Under the Upper Lid:
   • If particle cannot be seen, it is probably under the upper lid, the most common hiding place.
   • Try to open and close the eye several times while it is submerged in a pan or bowl of water. Or turn your head to the side and flush the eye using the faucet.
   • If this fails, pull the upper lid out and draw it over the lower lid. This maneuver, and tears, will sometimes dislodge the particle. By doing this the lower eye lashes may sweep the particle out from under the upper eye lid.
5. Expected Course: The discomfort, redness and excessive tearing usually pass 1 to 2 hours after the foreign body is removed.
6. Contacts: Patients with contact lenses need to switch to glasses temporarily (Reason: to prevent damage to the cornea).
7. Call Your Doctor If:
   • This approach does not remove all the foreign material from the eye (i.e., the sensation of "grittiness" or pain persists).
   • Vision does not return to normal after the eye has been irrigated.
   • Foreign object has been removed, but tearing and blinking persist.
   • You become worse.

Removing a Contact Lens

1. Reassurance: It may reassure you to know, if you did not know this already, that a contact lens cannot go behind the eyeball. A contact lens can sometimes get hidden under your upper or lower eyelid.
2. Wash Your Hands: Your first step will be to wash your hands with soap and water.
3. Moisten the Contact Lens:
   • Place several drops of saline into the eye.
   • You may need to repeat this in 5 minutes. (Reason: hydrates soft contacts; helps lubricate and float soft and hard contacts)
4. Removing a Soft Contact Lens:
   • Look upwards
   • Pull down your lower eyelid with your middle finger.
   • Touch contact lens with your index finger and slide the lens downwards to the lower white part of your eye.
   • Gently pinch the contact lens between your thumb and index finger and remove it from your eye.
5. Removing a Hard Contact Lens - Blink Method:
   • Pull outwards on the skin at the corner of the eye (Right index finger for right eye; left index finger for left eye)
   • Cup your other hand under the eye to catch the contact lens.
   • Blink several times.
6. Removing a Hard Contact Lens - Plunger Method
   • Use a contact lens "plunger" to remove the contact lens.
   • If you do not have one, you can get one at a local pharmacy. This is a small flexible plastic tool that has a suction cup on it.
7. Call Your Doctor If:
   • Unable to remove the contact lens
   • Pain or foreign body sensation lasts more than 2 hours after removing the contact lens.
   • You become worse.

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

Photo Example

Source: LMS Inc.

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