Chemical or Body Fluid Exposure


Background

  1. Due to accident, transfer from fingers, objects, splash or spray
  2. Most require simple flushing
  3. Saline (best), tap water (acceptable)
  4. Complications

Pathophysiology

  1. Acid
  2. Alkalis

Diagnosis

  1. Determine source of eye irritation:
  2. If chemical, categorize
  3. See Eye foreign body

Treatment

  1. Categorize chemical
  2. Goal is to REMOVE chemical agent
  3. Chemical types

Disposition

  1. Admit
  2. If NO sign of serious eye damage

Use of Morgan Lens:
( Allows large vol lavage effectively & efficiently)

  1. Most often used w/harmful (acid or alkali) exposures requiring multiple liters of irrigation
  2. Be careful about using for minor irrigation
  3. Procedure for use
  4. Lens removal: