Topical local anaesthetic to aid examination and removal of foreign body
Evert upper eyelid (may require double eversion)
Sweep the fornix with saline-wetted cotton bud
Prescribe tear supplements/ lubricants for symptomatic relief
Consider prophylactic antibiotic if there is substantial epithelial loss or foreign matter contamination of the conjunctival sac
Ask if allergic to Chloramphenicol
If not, supply Chloramphenicol 1% eye ointment 3 times daily for 5 days
If allergic to Chloramphenicol, or pregnant, supply Fusidic acid 1% liquid gel twice a day for 5 days
Advice
Advise on future suitable eye protection
Advise patient to return/seek further help if symptoms persist
Management Category
Normally no referral
Possible management by Ophthalmologist
As above
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