Eye foreign object if it runs, how should intervene?

Immediate Actions for Foreign Matter in the Eye

When a foreign object enters the eye, taking the correct immediate action is critical to prevent permanent damage. If you suspect a piece of metal has penetrated the eye or is resting on the eyeball, do not attempt to remove it yourself. Such injuries require professional intervention to avoid worsening the condition.

In the event of a serious injury, you should keep the eyes still by closing them with a clean cloth. It is vital to transport the patient to a medical doctor immediately. Keeping the eyes open allows for involuntary movement, which causes the object to shift and leads to a more debilitating impact on the eye structure.

How to Remove Visible Foreign Substances

If the foreign substance is located on the white of the eye or is visible inside the lower eyelid, you may attempt to remove it using a specific technique. Follow these safety guidelines:

• Use the edge of a clean handkerchief moistened with water.
• Gently touch the object to lift it away.
• Avoid using cotton, as cotton particles can shed and cause further discomfort or irritation.

Techniques for Hidden Objects Under the Eyelid

If the substance is not immediately visible, it may be trapped under the eyelids. You can attempt to dislodge it by pulling the upper eyelid over the lower eyelid and holding it briefly. This movement often shifts the object into a visible area.

If the object remains hidden, it is likely escaped under the upper eyelid. In this case, the assistance of another person is required. The following procedure should be followed carefully:

1. The patient should be instructed to stare downward.
2. The helper gently pulls the upper eyelid lashes downward.
3. A matchstick or similar thin object is placed on the outer surface of the eyelid to act as a pivot.
4. The eyelid is then folded back over the matchstick to expose the underside.
5. Once visible, the object is gently removed using the tip of a wet and clean handkerchief.

When to Consult a Medical Professional

If you experience any difficulty during the removal process, or if the object remains lodged, stop immediately. It is best to refer to a doctor while leaving the eye intact to prevent secondary injuries. Professional care ensures the safety of your vision and proper treatment of the ocular surface.

Expert Contributor:
Op. Dr. Ahmet UMAY
Ophthalmology & Podiatric Surgery, UK.

Wishes for health and happiness...