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Chapter: Paediatrics: Special senses

Paediatrics: Eye foreign body

Small FBs are usually cleared by tear film.

Eye foreign body

 

Small FBs are usually cleared by tear film. Occasionally they may lodge underneath the upper eyelid or become embedded in the cornea caus-ing intense irritation and excessive lacrimation. Examination of the eye to locate and remove the FB should be carried out.

   Instil topical anesthetic drops.

   Perform a visual acuity check (where appropriate) and fundoscopy— examine the anterior chamber and tear film with a bright light (best done with a slit lamp) and examine the conjunctival sacs.

   A loose FB usually adheres to a swab lightly touched to the surface of the conjunctiva, or will be washed out by copious irrigation with saline.

   Referral to the ophthalmology team to exclude any corneal abrasion caused by the FB is usually required.

 

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