Eye Injuries
Chapter 23. Emergency Conditions

There are many causes of eye injuries. These include:
A physical blow to the eye, or a blast exposure, such as from a firecracker.
Harsh chemicals like lye, bleach, and acids, which can burn eye tissue and permanently damage the eyes
A grain of sand, fleck of paint, sliver of metal, or splinter of wood, which can scratch the cornea and induce infection
Excessive exposure to the sun, very low humidity, or a strong wind, which may dry the eyes so much they feel like sandpaper rubbing against your lids
Insect bites
Exposure to bright sunlight, tanning-booth light, or welder's arc
Scratches from contact lenses

Prevention
Wear safety glasses during any job or activity that exposes your eyes to sawdust, metal flecks, etc.
Be careful when using harsh chemicals. Wear rubber gloves and protective glasses. Don't rub your eyes if you've touched harsh chemicals. Wash your hands. Turn your head away from chemical vapors so as not to let any get into your eyes.
Don't allow a child to stick his or her head out of the window of a moving vehicle. Sand, insects, and other flying objects can strike the eye and irritate or damage the cornea.
Avoid alcohol, use a humidifier, and limit exposure to smoke, dust, and wind to help prevent dry eyes.
Use artificial tear drops with your doctor's okay.
Never stare directly at the sun, especially during a solar eclipse.
Wear sunglasses that block UV rays anytime you're in the sun or in a tanning booth.

All eye injuries should be taken seriously. All should be checked by a physician.

Questions to Ask

Is there a foreign body sticking into the eye?
{Note: See First Aid for Foreign Body Sticking into the Eye under Self-Care Tips below.}
Is there a severe blow to the eye, with or without a broken bone of the face?
Is there a cut to the eye or eyelid?
Have harmful chemicals gotten into the eye(s)?
{Note: Before emergency care flush the eyes with water immediately! See First Aid for Harmful Chemicals in the Eye(s) under Self-Care Tips below.}
Has a bee sting or insect bite to the eye caused a severe allergic reaction with any of these symptoms?
Wheezing, shortness of breath, and breathing difficulties
Severe swelling in the eye and in other parts of the body such as the tongue, lips, throat
Bluish lips and skin
Collapse
{Note: Give shot from and follow other instructions in emergency insect sting kit, if available.}
Do any of these problems occur after an eye injury?
Blurred or double vision
Blood in the pupil
Is eye pain present?

Self-Care Tips

First Aid for Foreign Body Sticking into the Eye
Do not try to remove the object.
Do not press on, touch, or rub the eye(s).
Cover the affected eye with a paper cup or other clean object that will not touch the eye or the foreign object. Hold the paper cup in place with tape without putting pressure on the eye or the foreign object.
Gently cover unaffected eye as well with a clean bandage and tape. This will help to keep the affected eye from moving.

First Aid for Harmful Chemicals in the Eye(s)
Flush the eye(s) with water immediately!
Hold the affected eye open with your thumb and forefinger.
Using a pitcher or other clean container, pour large amounts of water over the entire eye. Start at the inside corner and pour downward to the outside corner. This lets the water drain away from the body and keeps it from getting in the other eye. Keep pouring the water for 10 to 30 or more minutes. It is best to flush the eye with water until you get medical help.
Loosely bandage the eye with sterile cloth and tape. Do not touch the eye.
If both eyes are affected, pour water over both eyes at the same time or quickly alternate the above procedure from one eye to another.
Or, place the victim's face in a sink or container filled with warm water. Tell the victim to keep his or her eyes open and to come out of the water at intervals so he or she can breathe. Do this procedure on yourself if you are the victim and are alone.

To Remove a Foreign Object in the Eye:
Wash your hands.
Twist a piece of tissue, moisten the tip with tap water (not saliva) and gently try to touch the speck with the tip. Carefully pass the tissue over the speck, which should cling to the tip.
If the foreign object is under the upper lid, have the person look down and pull the upper lid away from the eyeball by gently grabbing the eyelashes. Press a cotton-tipped swab down on the skin surface of the upper eyelid and pull the upper eyelid up and toward the brow. The upper lid will invert. Touch and remove the debris with the tip of the tissue.

Do not rub the eye. And never use tweezers or anything sharp to remove a foreign object. Doing so can scratch the cornea.
Gently wash the eye with cool water.

To Treat a Black Eye from a Minor Injury:
Put a cold compress over the injured area right away.
Take an over-the-counter medicine for the pain and inflammation. Acetaminophen will help the pain, but not the inflammation. {Note: See Pain relievers in "Your Home Pharmacy".}
Later, put a warm compress over the injured area.
Seek medical attention if these measures do not help.

To Ease the Discomfort of Dry Eyes:
Try an over-the-counter artificial tear product such as Ocu-Lube, Refresh or Liquifilm. Check the label. If there are no preservatives, keep the solution refrigerated. Always wash your hands before putting drops in the eyes.

To Treat an Insect Bite Without a Severe Allergic Reaction:
Gently wash the eye(s) with warm water.
Call the victim's doctor and ask if an antihistamine should be taken. Have the doctor recommend one. Tell the doctor what has happened and ask if anything else should be done.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/21/99