• Suspect an embedded eyelid foreign body when
no object can be visualized and symptoms are persistent.
• If possible, do not apply a topical ophthalmic anesthetic until
a foreign body is visualized or you are confident that none is present.
• Patients can help localize a foreign body but sensation will
be eliminated by the topical anesthetic.
• Patient’s inability to feel increases the potential
for abrasions since there is no further pain or apprehension with blinking,
eye movement, or rubbing.
• A smooth, uncoated metal clip can be bent to into an appropriate
shape to be used as a retractor after sterilization with alcohol.
• Copious irrigation and mechanical removal of a foreign body is
necessary to prevent corneal abrasions, infections, ulcerations,
perforations, and metallic rust rings.