first aid eye june 2006

8/6/2019 First Aid Eye June 2006

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Eyes: Trauma

Retinologist & Eye Surgeon

SN Medical College, Agra


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Knowing what to do for an eye emergency

can save valuable time and

possibly prevent permanent vision loss.


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Why should we be concerned?

Eye injuries of all types

occur at the rate of

about 2000/day in India

Up to 20% of these

result in temporary or

permanent vision loss.

80% people who receive

eye injuries were not

wearing eye protection.


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Immediately flush the eye with water.Keep the eye open and as wide as possible while

flushing. Continue flushing for at least 15 minutes.

If a contact lens is in the eye, begin flushing over thelens immediately.

DO NOT bandage the eye.

Seek immediate ophthalmological treatment afterflushing.

Chemical Burns to the Eye


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Specks (foreign object) in the Eye

DO NOT rub the eye

Try to let tears wash the speck

out Try lifting the upper eyelid

outward and down over thelower lid

Flush with water

If unable to remove, coverboth eyes with gauze and seekmedical attention


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Specks (foreign object) in the EyeTo help someone else

1.Washyour hands.

2. Seat the person in awell-lighted

area.

3. Gently examine the eye to find

the object. Pull the lower lid

down and ask the person to look

up. Then hold the upper lid while

the person looks down.

4. If the object is floating in the tear

film on the surface of the eye, try

flushing it out.


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Apply a cold compress without putting pressure on eye.

In cases of pain, reduced vision, or discoloration (black

eye), seek emergency medical care.

Retinal evaluation at 2 weeks should also be arranged.

Blows to the Eye


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Penetrating Eye InjuriesCuts and Punctures ofthe Eye orEyelid

Dont apply pressure unless you are surethat the eyeball is intact

Dont try to remove object Dontwash eye

Cover both eyes with gauze

Keep victim on back Seek eye doctors attention immediately


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Always use the appropriate

eyewear for the job


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What are the different kinds of

eye protection? Glass

Plastic

Polycarbonate

Shielded safety glasses

Goggles

Full Face shields


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Glass

Glass lenses provide

good scratch resistance

They can withstandchemical exposure

They can accommodate

a large number ofprescriptions


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Plastic and polycarbonate

Light weight

Protect against weldingsplatter

Less likely to fog up

Not very scratchresistant

Will not accommodateprescriptions


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Safety glasses should be shielded

Better protection from

flying debris

Protection against

chemicals which may

be suspended in the air


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Goggles

Greater protection fromsplashes, liquids anddusts than shieldedsafety glasses

Should fit tightlyagainst your face

Best protection againstliquid pesticides andother toxic chemicals


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Face shields

Where you have avery high chance ofexposure to an

airborne substance

Not enough toprotect your eyes by

itself; It should beworn with approvedsafety glasses


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Remember:

Safety Glasses

WORK!!

USE THEM!

These glasses saved thevision of a laboratory

worker. He was using a

small amount of an

unstable chemical. The

flask containing thechemical exploded. His

eyes were without

injury.


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Ninety percent of these eye

injures can be prevented

through understanding,

safety practices and the use

of proper eye

protection.


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Fireworks Eye Safety

1. Dont rub as this may increase bleeding or

make the injury worse.

2. Dont apply pressure. Protect the eye from

further contact with any item, including the

child's hand.

3. Dont stop for medicine! Take the child to

emergency at once - this is important than

stopping for pain reliever.

4. Dont apply ointment. Ointment makes area

around eye slippery and harder to examine.

5. Dont let your child play with fireworks.


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1. Top of the VDT screen - at or slightly below eye

level.

2.P

lace all reference material as close to VDT aspossible.

3. Minimize lighting reflections and glare.

4. VDT screen - clean and dust-free.

5. Schedule periodic rest breaks to avoid eyefatigue.

6. Keep the eyes lubricated (by frequent blinking).

Eye Strain at the Computerprevention


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Cosmetic Safety forContact

Lens Wearers

Complications

Deposits on the lens

Eye irritation

Allergy

Injury

Infection

Dryness


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Cosmetic Safety forContact

Lens Wearers Choose non-scented, hypoallergenic

cosmetics.

Wash your hands before inserting or

removing your contact lenses. Do not borrow or lend your cosmetics toothers.

Apply make-up after inserting the contact lenses.

Wash all make-up application brushes frequently.

Avoid using loose powder on the face.Never apply eye makeup while in motion or whiledriving.

Do not apply cosmetics if your eyes are red or swollen.


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Conjunctivitis Care

Usually viral

Superadded bacterial infection more likely

Antibiotics are needed

Avoid steroid preparations

Frequent splashing of water before putting

drops

Avoid contact with others while eyes are red

Separate towel etc

Wash hands before putting drops


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How to put drop in eye

Wash yourhands thoroughly

Lie on your back or sit with head tilted back

Pull down lower eyelid to form a pocket

Let not the dropper touch your eye or eyelash

Squeeze one drop into the pocket thus formed

Close the eye immediately for 2 minutes

Do not blink

Do not wipe

Preferably ask someone to help you put drops


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Diabetic Retinopathy

Asymptomatic

Irreversible loss of

vision, usually Screening is mandatory

Further deterioration can

be arrested Medical, LASER &

Surgical Rx is warranted


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Fluorescein angiogram


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Laser


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Protection from Sunrays

Harmful UV rays

Long term exposure leads toearly cataract formation

Macular (central retinal)

degeneration


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Don't press on an injured eye

Don't force drops into the eye.

Dont apply ointments, oils, or salves.

Wash your hands thoroughly prior to touching eye.

Although the injury may not look or feel dangerous,

an eye injury is as serious as eye disease.

General GuidelinesRegardless of eye injury, include these procedures


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first aid eye june 2006

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