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Emergency Eye Care
How can I tell if I should go
immediately to the Emergency Department or wait to see my eye
doctor?
You should always
seek immediate care if you believe your eyesight is in jeopardy
or if you are in severe pain. In addition, seek immediate
medical attention if you have the following symptoms:
-
sudden vision
loss, in one or both eyes
-
sudden, severe
pain in or around the eye
-
redness
accompanied by pain in the eye
-
halos (colored
circles around lights)
-
new floaters
(spots, strings, cobwebs, or shadows before the eyes)
-
bulging of the
eye or swelling of eye tissues
-
flashes or
streaks of light
-
double vision
-
sudden crossed,
turned or "wandering" eye
-
discharge,
crusting or excessive tearing; eyelids stuck together,
especially upon awakening
-
sudden blurring
of vision that lasts more than 1 day
What kinds of problems are seen in
the Emergency Room?
Emergency Rooms
see many types of serious eye injuries and conditions, such as:
-
eye infections
-
cuts
(lacerations) to the eye from accidents, fights, car
accidents, etc.
-
adverse reactions
to contact lenses (i.e., contacts that have become "stuck" to
the eye)
-
sports-related
eye injuries
-
eye pain and
vision disturbances caused by chemical exposure
-
foreign particles
in the eye such as small pieces of debris from yard work,
glass or metal
Eye Safety
Even a minor eye
injury can cause serious, lifelong eye damage. For example,
bleeding within the eye, caused by an eye injury, can cause
glaucoma later in life. Eye injuries can cause loss of vision,
or complete loss of an eye. Listed below are tips for
preventing eye injuries, as well as information about first
aid treatment in the event of an eye injury.
First Aid Treatment For Eye
Injuries
Never try to guess about the
severity of an eye injury. Seek medical attention as soon as
possible following an eye injury, particularly if you have
pain in the eye, blurred vision, loss of vision or loss of
field of vision.
The Florida Eye Center
recommends several simple first aid steps that can be taken
and should be started until medical assistance is obtained.
Chemical Exposure
(i.e., oven cleaner, drain
cleaner, chlorox bleech, or other caustic products or
concentrated acid products)
-
DO
immediately flush the eye with water
or any drinkable liquid (such as milk, gatorade, juice,etc.),
continuously for at least 30 minutes. Dilution as well as
washing out particulate matter is the key.
-
DO
hold head under a shower spray or water fountain or use a
garden hose at low pressure to pour water into the eye. Even
use swimming pool water.......ASAP !!!!!!!!!!!!
-
Flush the eye(s) even before
trying to call 911!!!
Leaving for the hospital or taking time to call a physician
before flushing the eye first will only allow additional
damage to occur and could mean loss of vision.
-
DO NOT
try to neutralize the chemical. ........ K.I.S.S.
!!!!!!!!!!!!!!
Blows To The Eye ( sticks,
stones, punches, branches, etc.)
-
DO
place a small, soft plastic sandwich bag wrapped in a clean
cloth or gauze, filled with crushed ice (the size of a golf
ball) gently over the eye, taping it to the forehead, to
reduce pain and swelling. Whole ice cubes or commercial ice
packs are too heavy and may cause further damage.
-
DO
see an ophthalmologist (Eye M.D.) immediately if there is
severe swelling or bleeding, decrease or loss of vision or
field of vision, or double vision.
-
DO NOT
allow the injured person to blow his nose, because, in case
of a fracture of the orbit (socket), bacteria from
the sinuses may be blown into the tissues around the eye,
causing eye infection.
-
DO NOT
allow injured person to rub the eye.
-
DO NOT
apply pressure to the eye.
-
DO
seek medical help immediately.
-
DO
protect the eye with something hard, such as sunglasses or
the bottom half of a milk carton or bottom half of a paper
cup or Styrofoam cup taped over the eye, while en route to
medical care.
-
DO NOT
wash out the eye or try to remove an object stuck in the eye
or orbit (socket).
Cuts or Punctures of the Eye or
Eyelid
-
DO
seek medical help immediately.
-
DO
protect the eye with something hard, such as sunglasses or
the bottom half of a milk carton or a cup taped over the
eye, while en route to medical care.
-
DO NOT
wash out the eye or try to remove an object stuck in the eye
or orbit (socket).
-
DO NOT
apply pressure to the eye.
Foreign Body in the Eye
-
DO
see an ophthalmologist (Eye M.D.) immediately if the
particle does not wash out or if pain persists.
-
DO
allow natural tearing to flush out the particle. If it does
not flush out, use a squeeze-type bottle of commercial eye
solution to irrigate the eye, which may dislodge the
particle.
-
DO NOT
use Visine , unless it is the only eye drops and do not use
for more than the 1st few hours....................
-
DO NOT
remove protruding objects. Seek immediate medical aid.
-
DO NOT
directly rub a speck or particle. Pull upper eyelid down
over the lower eyelid and allow it to push the speck out of
the eye.
Eye Safety Tips
Almost 100% of eye injuries
could have been prevented !!!!!!!
Please, wear appropriate eye
protection (and encourage your children to do so) when
participating in sports and recreational activities.
Also use eye protection when
doing carpentry (hammering nails, sawing wood), or when
working near machinery, lawn mowers, weeding power equipment,
car batteries, chemicals or anything that may cause flying
particles.
-
DO
be sure that the lenses and frames of safety glasses that
are certified have passed the standard written by the
American National Standards Institute (ANSI). The American
Society for Testing Materials (ASTM) also writes standards
for sports/recreational eye protectors. Polycarbonate
lenses are recommended by the FLORIDA EYE CENTER....
-
The better sports eye
protectors are made of polycarbonate with molded temples.
Wear eye appropriate protection (i.e., splash goggles) when
using such potentially hazardous substances as ammonia, oven
cleaner and other chemicals.
-
DO
wear sunglasses, plain or with
prescription lenses, to protect the eyes against sunlight
and on cloudy days to protect against ultraviolet radiation.
Make certain the sunglasses specify 99 percent ultraviolet
blocking capability because darkness of lenses does not mean
the same thing and darker lenses are not always better.
-
DO
wear polycarbonate protection
eyewear during waking hours if you have good vision in only
one eye.
-
DO
turn your face away or close your eyes when spraying
perfume, hair spray or deodorant. Use care when applying
lotions, creams or oils on the eyelids or around the eyes.
If you are exposed to these or other chemicals, severe
irritation may result.
-
DO NOT
substitute ordinary streetwear glasses or contact lenses for
appropriate eye protection. Ordinary glasses may break on
impact, often leading to severe eye injury, and contact
lenses provide no protection whatsoever against eye injury.
Polycarbonate lenses are the most impact resistant material.
-
DO NOT
allow children to play with hazardous "toys" such as BB,
pellet or paintball guns, bows and arrows, darts or
firecrackers. Injuries sustained by both children and adults
when using these items have often resulted in permanent
damage or loss of an eye. Common sense tells us to supervise
and chaparone the children.
-
DO NOT
use an eyecup since it may harbor harmful bacteria.
Prolonged use of VISINE, a decongestant that "gets the red
out," may mask the symptoms and postpone treatment of a
potentially serious eye condition.
-
DO NOT
wear dark or heavily tinted glasses at night.
Eye Safety Tips for Contact Lens
Wearers
Remove your contact lenses
before entering a pool or hot tub. Chlorination may not kill
harmful bacteria or parasites in the water. If you wear
contact lenses and they are exposed to bacteria, serious
eye infection and corneal disease may result.
Use only commercially prepared
solutions for contact lens care. Avoid homemade saline
solutions of salt tablets and distilled or tap water.
-
DO NOT
ever use tap or distilled water, or saliva to rinse contact
lenses. After lenses have been removed, always disinfect and
rinse them before reinserting. Failure to adhere to a strict
cleansing routine can result in severe infection, corneal
disease, blinding scars and even loss of an eye.
-
DO NOT
substitute ordinary streetwear glasses or contact lenses for
safety eyewear. Ordinary glasses may break on impact, often
leading to severe eye injury, and contact lenses provide no
protection whatsoever against eye injury.
Sports Injuries
What sport causes the most
ocular injuries the U.S.?
In 1998, basketball was
responsible for over one-third of the eye injuries, but now
that protective gear is required by many organizations,
basketball has become a strong contender for first place for
an estimated 8,723 eye injuries.
Swimming and pool sports
resulted in an estimated 4,593 eye injuries. Baseball had been
the most common, but fell to third place with 4,029 cases.
The majority of these and other
sports-related and recreational activities and eye injuries
could have been prevented if the athletes had worn
appropriate, certified protective eyewear.
The right kind of protective
eyewear can make a huge difference.
For example, in Canada, ocular
trauma related to ice hockey decreased by 90 percent after
certified full-face protector and headgear was made mandatory
in organized amateur hockey.
If you think sports-related eye
injuries are not important, think about these facts:
-
The average hockey puck
travels at 90-100 mph.
-
Professional baseball players
throw balls at about 95 mph.
-
High-speed film has
demonstrated that elite squash players strike the ball at
125-145 mph.
-
A badminton shuttlecock has
been clocked at 140 mph.
-
Polycarbonate protects against
a .22 caliber bullet.
If you consider that even a
novice 12-year-old squash player can hit a ball at 80 mph, you
will understand that high-velocity flying objects can do
irreparable damage to the human eye.
Your vision is precious, protect
it.
Children and Sports Injuries
Children are at particular risk
for a sports-related eye injury. Every year, 25,513 children
sustain serious sports-related eye injuries. That is why it is
essential that all children wear appropriate, protective
eyewear whenever playing sports.
Basketball is responsible for
2,338 eye injuries in children age 5 to 14. It accounts for
3,856 eye injuries in teens and young adults (15-24 y.o.).
It may be surprising to know
that it is not the ball that causes most of these injuries,
but rather the fingers and elbows of other players.
Almost all of these injuries
could have been prevented had the child worn appropriate
protective eyewear.
Parents are advised to acquaint
themselves with the potential for eye injuries in sports and
recreational activities including gym and to insist that their
children use appropriate, protective eyewear when
participating in sports or other fun activities.
Just as your child wears a bike
helmet, so must he or she learn to automatically reach for
sport-appropriate, protective eyewear when heading for the
field or court.
Protective Eyewear
Not all eyewear is alike.
The eye specialists at Florida Eye Center recommend you always
use appropriate, certified eyewear whenever participating in
sports.
If you wear prescription
eyeglasses or contact lenses, remember that they never
substitute for appropriate, well-fitted protective eyewear.
You may however, obtain
prescription eyewear at the Florida Eye Center that is made of
impact resistant materials preferably polycarbonate that
passes the appropriate standard.
Lensless goggles offer no
protection.
Eye Protection Standards and
Guidelines
American National Standards
Institute
ANSI Z80.5 - 1997 Requirements
for Ophthalmologic frames
ANSI Z80.1 - 1995 Prescription Ophthalmic lens recommendations
ANSI Z80.3 - 1996 Requirements for non-prescription sunglasses
and fashion wear
NOTE: Polycarbonate lenses should be used unless there is a
specific reason for another lens material
ANSI Z87.1 - 1989 Practice for occupational eye and face
protection
NOTE: Industrial eye protectors are not satisfactory for
sports unless tested to ASTM standards
American Society for Testing and
Materials
ASTM F803 - 1997 Eye protectors
for selected sports (racquet sports, women's lacrosse,
baseball)
ASTM F513 - 1995 Eye and face protective equipment for hockey
players
ASTM F910 - 1992 Face guards for youth baseball
ASTM F1776 - 1997 Eye protectors for use by players of
paintball sports
ASTM F1587 - 1996 Head and face protective equipment for ice
hockey goal tenders
ASTM F659 - 1992 High-impact-resistant eye protective devices
for Alpine Skiing
Sunglasses
Sunglasses, plain or with
prescription lenses, protect the eyes against sunlight
(ultraviolet radiation).
Make certain the sunglasses
specify 99 percent ultraviolet blocking capability because
darkness of lenses does not mean the same thing and darker
lenses are not always better.
Sunglasses that are too dark and
"fool" the pupil so that it will not constrict allow more
ultraviolet light to enter the eye.
Polycarbonate lenses are
strongly recommended for safety.
American National Standards
Institute: ANSI Z80.3-1996 Requirements for non-prescription
sunglasses and fashion eyewear
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