ocular foreign body removal

7 Jan

Removing foreign body from eye in ED

use 22-25 G needle.

Fluoroscein the eye the ensure negative Seidel’s sign (oozing aqueous humor=open globe).

Set up on slit lamp, anchor dominant hand at a slight angle and attempt to flick/shave the foreign body out of the sclera.

Don’t puncture the cornea.

Often after a day or two epithelial tissue will form over the foreign body and it is difficult to flick out in the ED.

  • In this case, ophthalmology has a machine called a Burr to get it out.
  • This shaves a layer of sclera at a time until the object is out.

 

Submitted by J. Rothstein

 

References: emedicine article; burr picture; procedure picture

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One Response to “ocular foreign body removal”

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  1. The Slit Lamp Exam – in plain language for ED folk « DAILYEM - January 14, 2013

    […] this instrument when thinking about the anterior segment of the eye (think corneal abrasion, foreign body, and […]

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