Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies

Chou, Hung‐Da; Chen, Kuan‐Jen; Kang, Eugene Yu-Chuan; Lin, Jui-Yen; Yeh, Po-Han; Chen, Yen‐Ting; Cheng, Chi‐Tung; Lai, Chi-Chun; Wu, Wei‐Chi; Hwang, Yih‐Shiou; Hsiao, Ching-Hsi

doi:10.1038/s41598-021-02989-3

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…If the foreign body involves the visual axis and corneal stroma there will be corneal scarring which leads to visual impairment. It is an easily manageable ocular condition however improper or untimely treatment may lead to serious visual impairment 17,18 . Most of these are workplace injuries.…”

Section: Discussionmentioning

confidence: 99%

Preventing Ocular Surface Foreign Body Complications: Enhancing Awareness and Precaution

Khalid,

Ayoob,

Masood

et al. 2024

PJMD

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Background: Ocular surface foreign bodies are the second most common emergency condition in the ophthalmology department OPD, which can be easily prevented through proper precautionary measures. Also, they can be either superficial or embedded into the cornea or conjunctiva. In this study, we aimed to create awareness regarding the prevention and management of such cases to reduce ocular complications. Methods: This prospective cross-sectional study was carried out in the Ophthalmology department of Ziauddin University Hospital Karachi. The study duration was 4 years from 16th November 2019 to 15 November 2022. Patients presented to the ophthalmology department OPD with complaints of ocular foreign bodies were examined clinically and a total of 427 patients were included in the study who fulfilled the inclusion criteria. The data was collected and analyzed on SPSS 23. The chi-square test was used to compare the variables. Results: Our study analyzed that ocular surface foreign bodies had a strong association with the profession. The metallic foreign bodies were found in 283(66.3%) patients and the remaining 144 (37.7%) were non-metallic. There was a strong correlation found between the type of foreign body and the site of ocular involvement. The p-value was significant with 0.0001. Conclusion: The majority of ocular surface foreign bodies were workplace-related due to a lack of awareness of protective measures. A counseling workshop should be arranged regarding its importance for workers in their workplaces which will improve their work capacity, and health and reduce economic burden.

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Section: Discussionmentioning

confidence: 99%

Preventing Ocular Surface Foreign Body Complications: Enhancing Awareness and Precaution

Khalid,

Ayoob,

Masood

et al. 2024

PJMD

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“…Alternatively, chloramphenicol ointment may be used. For patients with large abrasions, retained foreign bodies after irrigation, or contact lenses, levofloxacin eye drops may be prescribed [ 1 ]. For contact lens wearers, antibiotic drops sensitive to pseudomonas are used.…”

Section: Discussionmentioning

confidence: 99%

“…Corneal abrasions and foreign bodies on the ocular surface are two of the most common ophthalmic complaints of patients presenting to the emergency departments [ 1 ]. Some ocular complaints, although not emergent, can cause extreme discomfort to the patient, whereas other problems can be vision threatening and require immediate ophthalmological consultation [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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A Syringe in an Emergency Saves Time: An Audit on the Utility of Syringe Provision in Eye Emergency

Zafar¹,

Akhtar²,

Zafar³

et al. 2023

Cureus

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BackgroundPatient satisfaction is the top priority of health care facilities in addition to the quality of health care delivery services. The convenience of health care receivers, be it temporal or monetary, fall in this domain. Hospitals should be equipped with dealing with all kinds of emergencies no matter how trivial or catastrophic. AimTo improve the provision of emergency care equipment (1 c.c. syringes) in the examination room of our ophthalmology department by 50% in two months' time. Materials and methodsThis quality improvement project (QIP) was conducted in the ophthalmology department of a teaching hospital in Khyber Pakhtunkhwa. This QIP was conducted over a period of two months in the form of three cycles. All cooperative patients with embedded and superficial corneal foreign bodies who presented to the eye emergency were included in the project. The provision of 1 c.c. syringes in the emergency eye care trolley of the eye examination room was ensured at all times after the first cycle survey. A record was maintained of the percentage of patients receiving syringes from the department as well as the percentage of patients purchasing them from the pharmacy. The progress was measured every 20 days, following the approval of this QI project. ResultsA total of 49 patients were included in this QIP. This QIP shows that the provision of syringes was improved to 92.8% and 88.2% in cycles 2 and 3 from the previous statistics of 16.6% in the first cycle. ConclusionsIt is concluded that this QIP achieved its target. The provision of emergency equipment, such as a 1 cc syringe costing less than 1/20th of a dollar, is a simple act that saves resources and improves patient satisfaction.

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“…Loose foreign bodies can be irrigated away with normal saline or artificial tears. Upon successful removal of a foreign body, prophylactic antibiotics, 102 analgesia and artificial tears are advised. 103…”

Section: Other Therapeutic Functions Of Artificial Tearsmentioning

confidence: 99%

Artificial Tears: A Systematic Review

Semp¹,

Beeson²,

Sheppard³

et al. 2023

OPTO

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Artificial tears are the mainstay of dry eye disease management, but also have a role in corneal abrasion and wound healing, pain and inflammation management, conjunctivitis, keratitis, contact lens rewetting and removal, and foreign body removal. A systematic review of randomized controlled trials (PROSPERO registration CRD42022369619) comparing the efficacy of artificial tears in patients with dry eye to inform prescribing choices using Web of Science, PubMed and Medline databases identified 64 relevant articles. There is good evidence that artificial tears improve symptoms of dry eye disease within a month of regular use, applied about four times a day, but signs generally take several months to improve. Not all patients with dry eye disease benefit from artificial tears, so if there is no benefit over a month, alternative management should be considered. Combination formulations are more effective than single active ingredient artificial tears. Artificial tears containing polyethylene glycol are more effective than those containing carboxymethylcellulose/carmellose sodium and hydroxypropyl methylcellulose. Those classified as having evaporative dry eye disease, benefit from artificial tears with liposomes, especially of higher concentration. The data available is limited by the definition of dry eye disease applied in published studies being variable, as well as the disease severity examined and compliance with artificial tears being rarely quantified.

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Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies

Cited by 5 publications

References 26 publications

Preventing Ocular Surface Foreign Body Complications: Enhancing Awareness and Precaution

Preventing Ocular Surface Foreign Body Complications: Enhancing Awareness and Precaution

A Syringe in an Emergency Saves Time: An Audit on the Utility of Syringe Provision in Eye Emergency

Artificial Tears: A Systematic Review

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