Blunt and Burn Injuries and Foreign Body in the Eye
Eye injuries are the most difficult thing to happen to the human body!
Why?
Because the first human reflex in face of any emergency is to protect the eyes before any other organ in the body.
Eyelids help them do this.
But an accident is an accident only. It can hit you exactly where you are the strongest and least expect it!
There are those blunt eye injuries that may hit the structure near the front of eye (the eyelid, conjunctiva, sclera, cornea, iris, and lens) or its back (retina and optic nerve).
Credit: National Eye Institute, National Institutes of Health
Blunt eye injuries may cause the eye bleeding in the eyelid turning it into a black eye, or on the surface of the eye turning it into a red eye.
Bleeding in the anterior chamber of the eye as a result of the eye injury is more serious. It may cause pressure within the eye to increase glaucoma.
Bleeding in the posterior chamber of the eye is still more serious and may result in retinal detachment even.
Ice packs may help to soothe the black eye.
Credit: National Library of Medicine, National Institutes of Health
Stitches near the edge of the eyelids should be placed by an ophthalmologist only, in order to ensure that no deformities develop affecting the way the eyelids close.
Bleeding in the anterior chamber of the eye as a result of the eye injury requires bed rest with the head of the bed elevated to encourage the blood to settle.
Bleeding in the posterior chamber of the eye often requires surgical treatment along with administering antibiotics and corticosteroid eye drops to reduce inflammation.
In rare cases, after a severe eye injury (of one eye only), even the uninjured eye becomes inflamed (sympathetic ophthalmia), resulting in partial loss of vision or even blindness.
There can be eye injuries from burns, the heat burns as well as the chemical burns.
Heat burns require treatment with antibiotic ointments.
Chemical burns require treatment by immediately flooding the open eye with water before an antibiotic ointment is applied.
The most common eye injuries are caused by a foreign body in the eye mostly on the surface of the eye only.
Credit: National Eye Institute, National Institutes of Health
The most common source of these surface injuries is contact lenses - a poor fit, or improper maintenance, or the contact lens stuck in the eye!
The list of other sources is as varied as people themselves but certain occupations or hobbies are particularly likely to have small particles fly in their faces.
Eye injuries on the surface of the eye cause pain and uneasiness along with an increased sensitivity to light, redness, bleeding, swelling, and/or vision going blurred.
Diagnosis and treatment are carried out simultaneously with the procedure to remove the foreign body along with antibiotic ointments being kept applied for several days.
Eye drops containing a dye that glows under special lighting make the foreign body in the eye more visible and reveal surface abrasions.
Credit: National Library of Medicine, National Institutes of Health
Here I'll like to reproduce the words of Dr. W.H.Bates below for your perusal:
"Even with a foreign body in the eye there is no redness and no pain so long as central fixation is retained."
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