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Ailmemts & Remedies

Objects in the Eye

Introduction:It’s not uncommon for a speck of dirt or a small object, such as an eyelash or makeup, to get in your eye. Usually your natural tears will wash the object out. Objects may scratch the surface of the eye or may become stuck on the eye. If the cornea is scratched, it can be hard to tell when you have gotten the object out, because a scratched cornea may feel painful and as though something is still in the eye. Most corneal scratches are minor and heal on their own in 1 or 2 days.

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Small objects traveling at high speed or sharp objects traveling at any speed can cause serious injury to many parts of the eyeball. Injury may cause bleeding, a change in the size or shape of the pupil, a film over the eye lens, or damage to the inside of the eyeball. These objects may become embedded deep in the eye and may require medical treatment.

Objects in the eye can be prevented by using protective eyewear. Wear safety glasses, goggles, or face shields when working with power tools or chemicals or doing any activity that might cause an object or substance to get into your eyes. Some professions, such as health care and construction, may require workers to use protective eyewear to reduce the risk of foreign objects or substances or body fluids getting in the eyes.

CHECK THE SYMPTOMS:

Review health risks that may increase the seriousness of your symptoms.

If you have any of the following symptoms, evaluate those symptoms first.


Do you have an object in your eye? If the object hit your eye at high speed or is a piece of metal, do not try to remove it.
Do you think you have an infection after an eye injury?Call your health professional immediately .
Call your health professional immediately if you answer “Yes” to any of the following questions.
  • Did an object hit your eye at high speed? Note: This increases your risk of serious injury to your eye. Even if symptoms appear minor, your eye should be evaluated by a doctor.
  • Do you have a loss of vision that is more than mild blurring?

Call your health professional immediately if you answer “Yes” to any of the following questions.

  • Do you have a piece of metal on the surface of your eye?
  • Do you have mild blurred vision that does not clear by blinking your eye?
  • Is your eye still painful or scratchy for 12 hours or longer after removing an object and using home treatment? Note: Put on dark glasses. Do not bandage or put pressure on the eye. Do not use any nonprescription eyedrops in the eye.
  • Are you unable to remove an object from the surface of your eye with home treatment measures?
  • Have you had pain in or around your eye, tearing, and swelling for longer than 30 minutes?
  • Do you have a feeling that something is in your eye (foreign body sensation) or a feeling of sand in your eye when you blink?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer “Yes” to any of the following questions.

  • Have you had pain, redness, swelling, sensitivity to light, or a change in vision for 24 hours or longer after removing an object from your eye?
    Note:

    If you are not 100% better 24 hours after an object has been removed from your eye, an evaluation by a doctor is needed.

  • Have you been unable to remove a contact lens for 24 hours?
Call your health professional immediately if you answer “Yes” to any of the following questions.

 

  • Do you have diabetes?
  • Do you have a disease or take medicine that causes problems with your immune system ?

Call your health professional today if you answer “Yes” to any of the following questions.

  • Do you have pain in your eye?
  • Do you feel like you have something in your eye (foreign body sensation)?
  • Are your eyes very sensitive to light ( photo phobia)?
  • Do you have a yellow, green, bloody, or watery discharge from your eye?
  • Is redness of your eye or eyelids getting worse?
  • Do you have a gray or white sore on your eye?
  • Do you know or think you have a fever?
  • Do you have blurred or decreased vision?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer “Yes” to the following question.

  • Do you have a small to moderate amount of discharge after 24 hours of home treatment?
Other Symptoms to Watch For

Do you have any of the following symptoms?

  • An eye injury other than an object in the eye:
  • An eye problem without an eye injury, such as pain, blurred vision, or blood in the eye:

Eye Problems, Noninjury.

Common types of eye problems include:

* Drainage from the eyes.
* Eyestrain or vision changes.
* Misaligned eyes or strabismus.
* Blood in the white of the eye (subconjunctival hemorrhage).
* Eyelid problems.
* Contact lens problems.
* Color blindness.
* Night blindness.
* Glaucoma.
* Cataracts.
* Retinal problems, such as diabetic retinopathy.
* Red eyes that may be caused by infection, inflammation, or tumors.
* Uveitis.
* Macular degeneration.

It is common for the eyes to be irritated or have a scratchy feeling. Pain is not a common eye problem unless there has been an injury. It is not unusual for the eyes to be slightly sensitive to light. However, sudden, painful sensitivity to light is a serious problem that may indicate glaucoma or inflammation of the muscles that control the pupil (iritis) and should be evaluated by your doctor.

Sudden problems such as new vision changes, pain in the eye, or increased drainage are often more serious and need to be evaluated by a doctor. Eye symptoms that are new or that occur suddenly may be evaluated by an emergency medicine specialist. Ongoing (chronic) eye problems that may be worsening are usually evaluated by an eye doctor (ophthalmologist).

Some children may have special risks for eye problems. Vision screening is recommended for infants who were either born at or before 30 weeks, whose birth weight was below 1500 g (3.3 lb) , or who have serious medical conditions. Most vision problems are noticed first by the parents. See tips for spotting eye problems in your child. The first screening is recommended between 4 and 7 weeks after birth.1

Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a doctor.

  • Pinkeye:

Pinkeye (also called conjunctivitis) is redness and swelling of the conjunctiva, the mucous membrane that lines the eyelid and eye surface. The lining of the eye is usually clear. If irritation or infection occurs, the lining becomes red and swollen.

Pinkeye is very common. It usually is not serious and goes away in 7 to 10 days without medical treatment.Common symptoms of pinkeye are:

* Eye redness (hyperemia).
* Swollen, red eyelids.
* More tearing than usual.
* Feeling as if something is in the eye (foreign-body sensation or keratoconjunctivitis).
* An itching or burning feeling.
* Mild sensitivity to light (photophobia).
* Drainage from the eye.

Most cases of pinkeye are caused by:

* Infections caused by viruses or bacteria.
* Dry eyes from lack of tears or exposure to wind and sun.
* Chemicals, fumes, or smoke (chemical conjunctivitis).
* Allergies.

Viral and bacterial pinkeye are contagious and spread very easily. Since most pinkeye is caused by viruses for which there is usually no medical treatment, preventing its spread is important. Poor hand-washing is the main cause of the spread of pinkeye. Sharing an object, such as a washcloth or towel, with a person who has pinkeye can spread the infection. For tips on how to prevent the spread of pinkeye, see the Prevention section of this topic.

People with infectious pinkeye should not go to school or day care, or go to work until symptoms improve.

* If the pinkeye is caused by a virus, the person can usually return to day care, school, or work when symptoms begin to improve, typically in 3 to 5 days. Medicines are not usually used to treat viral pinkeye, so it is important to prevent the spread of the infection. Pinkeye caused by a herpes virus, which is rare, can be treated with an antiviral medicine. Home treatment of viral pinkeye symptoms can help you feel more comfortable while the infection goes away.
* If the pinkeye is caused by bacteria, the person can usually return to day care, school, or work 24 hours after an antibiotic has been started if symptoms have improved. Prescription antibiotic treatment usually kills the bacteria that cause pinkeye.

Pinkeye may be more serious if you:

* Have a condition that decreases your body’s ability to fight infection (impaired immune system).
* Have vision in only one eye.
* Wear contact lenses.

Red eye

Red eye is a more general term that includes not only pinkeye but also many other problems that cause redness on or around the eye, not just the lining. Pinkeye is the main cause of red eye. Red eye has other causes, including:

* Foreign bodies, such as metal or insects. For more information, go to the topic Objects in the Eye.
* Scrapes, sores, or injury to or infection of deeper parts of the eye (for example, uveitis, iritis, or keratitis). For more information, go to the topic Eye Injuries.
* Glaucoma. For more information, go to the topics Eye Problems, Noninjury or Glaucoma.
* Infection of the eye socket and areas around the eye. For more information, go to the topic Eye Problems, Noninjury.

Swollen, red eyelids may also be caused by styes, a lump called a chalazion, inflammation of the eyelid (blepharitis), or lack of tears (dry eyes). For more information, go to the topics Styes and Chalazia or Eyelid Problems (Blepharitis).

Review the Check Your Symptoms section to determine if and when you need to see a doctor.If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.

EMERGENCIES:

Do you have any of the following symptoms that require emergency treatment? Call 911 or other emergency services immediately.
  • An object has punctured and penetrated the eye. Note: Do not bandage or put any pressure on the eye. If an object has penetrated the eyeball, hold the object in place to prevent further movement and injury to the eye.
  • An eyeball is bulging out of its socket after an injury.
  • Sudden partial or complete vision loss has occurred after an injury. Note: Treatment is needed within 90 minutes to save vision.
HOME TREATMENT:

First aid for objects in the eye

  • Don’t rub your eye, because this could scratch the outer surface(cornea) of the eye. You may have to keep small children from rubbing their eyes.
  • Wash your hands before touching your eye.
  • If you wear contact lenses, take the contacts out before trying to remove the object or flush your eye.
  • If an object is over the dark center (pupil) of the eye or over the colored part (iris) of the eye, you may try to gently flush it out with water. If the object does not come out with flushing, put on dark glasses, and call your doctor. Do not put any pressure on the eye
  • If the object is on the white part (sclera) of the eye or inside the lower lid, wet a cotton swab or the tip of a twisted piece of tissue and touch the end to the object. The object should cling to the swab or tissue. Some minor irritation is common after you have removed the object in this way.
  • Gently flush the eye with cool water. A clean eyedropper may help. Many times the object will be under the upper eyelid and can be removed by lifting the upper lid away and flushing gently.
  • Do not try to remove a piece of metal, an object that has punctured the eye, or an object stuck on the eye after flushing with water.
  • Never use tweezers, toothpicks, or other hard items to remove any object. Using these items could cause eye damage.

If your eye symptoms are not 100% better after 24 hours of home treatment, an evaluation by a doctor is needed.

Eye injury in a child

Applying first aid measures for an eye injury in a child may be difficult depending on the child’s age, size, and ability to cooperate. Having another adult help you treat the child is helpful. Stay calm and talk in a soothing voice. Use slow, gentle movements to help the child remain calm and cooperative. A struggling child may need to be held strongly so that first aid can be started and the seriousness of the eye injury assessed.

Medicine you can buy without a prescription
Try a nonprescription medicine to help treat your fever or pain:
  • Acetaminophen, such as Tylenol or Panadol
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

    • Ibuprofen, such as Advil or Motrin
    • Naproxen, such as Aleve or Naprosyn
  • Aspirin(also a nonsteroidal anti-inflammatory drug), such as Bayer or Bufferin
Safety tips
Be sure to follow these safety tips when you use a nonprescription medicine:
  • Carefully read and follow all directions on the medicine bottle and box.
  • Do not take more than the recommended dose.
  • Do not take a medicine if you have had an allergic reaction to it in the past.
  • If you have been told to avoid a medicine, call your doctor before you take it.
  • If you are or could be pregnant, do not take any medicine other than acetaminophen unless your doctor has told you to.
  • Do not give aspirin to anyone younger than 20 unless your doctor tells you to.

Symptoms to Watch For During Home Treatment

Use the Check Your Symptoms section to evaluate your symptoms if any of the following occur during home treatment:

  • Decreased, double, or blurred vision doesn’t clear with blinking.
  • Pain increases or continues for more than 24 hours.
  • Blood develops over the colored part (iris) of the eye.
  • Sensitivity to light (Photo phobia) develops.
  • Sign of Infection develop.
  • Symptoms become more severe or more frequent.
PREVENTION:

The following tips may help prevent eye injuries.

  • Wear safety glasses,goggles, or face shields when you work with power tools or chemicals or do any activity that might cause an object or substance to get into your eyes. Some professions, such as health care and construction, may require workers to use protective eyewear to reduce the risk of foreign objects or substances or body fluids getting in the eyes.
  • If you are welding or near someone else who is welding, wear a mask or goggles designed for welding.
  • Wear protective eyewear during sports such as baseball, hockey, racquetball, or paintball that involve the risk of a blow to the eye. Fishhook injuries are another common cause of eye injuries. Protective eyewear can prevent sports-related eye injuries more than 90% of the time. An eye examination may be helpful in determining what type of protective eyewear is needed.

Eye injuries are common in children, and many can be prevented. Most eye injuries happen in older children. They occur more often in boys than in girls. Toys—from crayons to toy guns—are a major source of injury, so check all toys for sharp or pointed parts.

Teach children about eye safety:

  • Be a good role model—always wear eye protection.
  • Get protective eyewear for your children and help them use it properly.
  • Teach children that toys that fly should not be pointed at another person.
  • Teach children how to properly carry sharp or pointed objects.
  • Teach children that any kind of missile, projectile, or BB gun is not a toy.
  • Use safety measures near fires and explosives, such as camp fires and fireworks.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

.Sources:http://health.msn.com/health-topics/first-aid/articlepage.aspx?cp-documentid=100102186

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