In clinical practice, foreign body injuries are a common cause of emergency visits to the eye. They range from superficial corneal abrasions to penetrating injuries that threaten vision. Prompt diagnosis and treatment are critical for optimal recovery.
Clinical Evaluation
An ophthalmologist or optometrist will perform a comprehensive examination that includes:
- Patient history: Type of material involved, location, and time of injury.
- Slit-lamp examination: To visualize the cornea, conjunctiva, and anterior chamber.
- Fluorescein staining: Helps detect abrasions or corneal perforations.
- Eversion of eyelids: To check for trapped particles beneath the lids.
- X-ray or CT scan: If a metallic or deeply embedded foreign body is suspected.
Treatment Options
- Superficial Foreign Bodies
– Removed with sterile cotton swabs or irrigation.
– Antibiotic drops are prescribed to prevent infection. - Corneal or Deeply Embedded Foreign Bodies
– Removed under slit-lamp magnification using specialized instruments.
– In severe cases, surgical removal may be necessary.
– Follow-up includes antibiotic-steroid drops and lubricants. - Chemical or Metallic Injuries
– Immediate irrigation for at least 15-30 minutes.
– Anti-inflammatory treatment and close monitoring for corneal scarring.
Complications if Left Untreated
- Corneal ulcer or scarring
- Infection (bacterial or fungal)
- Vision loss or blindness
- Persistent discomfort and tearing
Preventive Measures
- Use protective eyewear during industrial, laboratory, or gardening work.
- Ensure workplace safety standards are maintained.
- Educate workers on first aid and emergency response for eye injuries.
Conclusion
Foreign body injuries are preventable and treatable when managed promptly and effectively. Early detection, correct removal techniques, and adherence to medical advice can preserve vision and prevent long-term complications. Protecting your eyes is not just about comfort; it’s about maintaining lifelong vision.
At TREETOP VISION EYE CENTRE, we offer expert eye screening, personalized eye care, and guidance to help you stay ahead of complications. Don’t wait for symptoms; book your eye exam today.
Your vision is worth protecting. Let us help you keep it crystal clear.
TREVEC CARES!!!
Foreign body in the eye
Very rich with information.
Thanks a lot, glad you find it helpful
Wow! Thank you so much doc. This would be so helpful.
You’re most welcome, glad it was helpful.
Thank you so much Doc for this wonderful package. Please can antibiotics be use in the case of chemical injury?
This is very helpful. Thank you for sharing!
Glad you find it helpful
Thank you for the feedback
For a chemical injury, antibiotics aren’t usually the first line of treatment unless there’s a secondary infection or a high risk of infection. The main priority is immediate and thorough irrigation of the affected area with plenty of clean water, followed by medical evaluation to assess the extent of tissue damage.
If signs of infection develop later (like pus, swelling, or worsening redness), then antibiotics might be prescribed by a doctor.
Antibiotics are used when there is microorganism (bacterial) infection