It's common for a speck of dirt to get blown
into your eye, for soap to wash into your eye, or for you to accidentally bump
your eye. For these types of minor eye injuries, home treatment is usually all
that is needed.
Some sports and recreational
activities increase the risk of eye injuries.
Very high-risk sports include boxing,
wrestling, and martial arts.
High-risk sports include baseball,
football, tennis, fencing, and squash.
Low-risk sports include
swimming and gymnastics (no body contact or use of a ball, bat, or
racquet).
Blows to the eye
Direct blows to the eye can
damage the skin and other tissues around the eye, the eyeball, or the bones of
the eye socket. Blows to the eye often cause bruising around the eye (black
eye) or cuts to the eyelid. If a blow to the eye or a
cut to the eyelid occurred during an accident, be sure to check for injuries to
the eyeball itself and for other injuries, especially to the head or face.
Concern about an eye injury may cause you to miss other injuries that need
attention.
Burns to the eye
Burns to the eye may be caused by
chemicals, fumes, hot air or steam, sunlight, tanning lamps, electric hair
curlers or dryers, or welding equipment. Bursts of flames or flash fires from
stoves or explosives can also burn the face and eyes.
Chemical burns can occur if a solid chemical,
liquid chemical, or chemical fumes get into the eye. Many substances will not
cause damage if they are flushed out of the eye quickly.
Acids and
alkali substances can damage the eye. It may take 24
hours after the burn to determine the seriousness of an eye burn. Chemical
fumes and vapors can also irritate the eyes.
Bright sunlight
(especially when the sun is reflecting off snow or water) can burn your eyes if
you do not wear sunglasses that filter out ultraviolet (UV) light. Eyes that
are not protected by a mask can be burned by exposure to the high-intensity
light of a welder's equipment (torch or arc). The eyes also may be injured by
other bright lights, such as from tanning booths or sunlamps.
A foreign object in the
eye, such as dirt, an eyelash, a contact lens, or makeup, can cause eye
symptoms.
Objects may scratch the surface of the eye
(cornea) or become stuck on the eye. If the
cornea is scratched, it can be hard to tell whether
the object has been removed, because a scratched cornea may feel painful and as
though something is still in the eye. Most corneal scratches are minor and heal
on their own in 1 or 2 days.
Small or sharp objects traveling at
high speeds can cause serious injury to many parts of the eyeball. Objects
flying from a lawn mower, grinding wheel, or any tool may strike the eye and
possibly puncture the eyeball. Injury may cause bleeding between the iris and
cornea (hyphema), a
change in the size or shape of the pupil, or damage to
the structures inside the eyeball. These objects may be deep in the eye and may
require medical treatment.
In the case of a car air bag inflating, all three
types of eye injuries can occur. The force of impact can cause a blow to the
eye, foreign objects may enter the eye, and chemicals in the air bag can burn
the eye.
Eye injuries can be prevented by using protective
eyewear.
Wear safety glasses, goggles, or face shields when working with power tools
or chemicals or doing any activity that might cause an object or substance to
get into your eyes. Some professions, such as health care and construction, may
require workers to use protective eyewear to reduce the risk of foreign objects
or substances or body fluids getting in the eyes.
After an eye
injury, you need to watch for
vision changes and
symptoms of an infection. Most minor eye injuries can
be treated at home. See the Home Treatment section for first aid
measures.
Review the Emergencies and Check Your Symptoms sections
to determine if and when you need to see a doctor.
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
An object has punctured and penetrated the eye.
Note: Do not bandage or put any pressure on the eye. If
an object has penetrated the eyeball, hold the object in place to prevent
further movement and injury to the eye.
An eyeball is bulging out
of its socket or looks abnormal after an injury.
Sudden
partial or complete vision loss has occurred in one or
both eyes. Note: Treatment is needed within 90 minutes to save vision.
Your
normal vision is limited to just one eye, and you have injured that eye.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
A flash burn or chemical burn to your eye: Go
to the topic
Burns to the Eye.
Did an object hit the eye at high speed? Note:
There is a high risk of serious injury to your eye. Even if symptoms appear
minor, your eye should be checked by a doctor.
Is your eye still painful or scratchy after removing an object and using
home treatment for 12 hours or longer? Note: Put on dark
glasses. Do not bandage or put pressure on the eye. Do not use any
nonprescription eyedrops in the eye.
Have you had eye problems after an
ultraviolet (UV) light exposure? Note: You may not have any symptoms for 6 to 8 hours after
exposure to ultraviolet light.
Were you cut by something dirty and your last tetanus shot was longer
than 5 years ago?
Note:
Something is dirty if it has dirt, soil, spit, or
feces on it. Examples include a garden tool, a dirty nail, or a piece of glass
that has been buried in the dirt.
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
An object has punctured and penetrated the eye.
Note: Do not bandage or put any pressure on the eye. If
an object has penetrated the eyeball, hold the object in place to prevent
further movement and injury to the eye.
An eyeball is bulging out
of its socket or looks abnormal after an injury.
Sudden
partial or complete vision loss has occurred in one or
both eyes. Note: Treatment is needed within 90 minutes to save vision.
Your
normal vision is limited to just one eye, and you have injured that eye.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
A flash burn or chemical burn to your eye: Go
to the topic
Burns to the Eye.
Did an object hit the eye at high speed? Note:
There is a high risk of serious injury to your eye. Even if symptoms appear
minor, your eye should be checked by a doctor.
Is your eye still painful or scratchy after removing an object and using
home treatment for 12 hours or longer? Note: Put on dark
glasses. Do not bandage or put pressure on the eye. Do not use any
nonprescription eyedrops in the eye.
Have you had eye problems after an
ultraviolet (UV) light exposure? Note: You may not have any symptoms for 6 to 8 hours after
exposure to ultraviolet light.
Were you cut by something dirty and your last tetanus shot was longer
than 5 years ago?
Note:
Something is dirty if it has dirt, soil, spit, or
feces on it. Examples include a garden tool, a dirty nail, or a piece of glass
that has been buried in the dirt.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Most minor eye injuries can be
treated at home.
If you have a cut on your eyelid, apply a
sterile bandage or cloth to protect the area. If you don't have a sterile
bandage, use a clean cloth. Do not use fluffy cotton bandages around the eye
that could tear apart and get stuck in the eye. Keep the bandage clean and
dry.
To reduce swelling around the eye, apply
ice or cold packs for 15 minutes 3 or 4 times a day during the first 48
hours after the injury. The sooner you apply a cold pack, the less swelling you
are likely to have. Place a cloth between the ice and your skin. After the
swelling goes down, warm compresses may help relieve pain.
Do not
use chemical cooling packs on or near the eye. If the pack leaks, the chemicals
could cause more eye damage. Do not use a piece of raw meat on an injured
eye.
If your eye symptoms are not completely gone after 24 hours
of home treatment, see your doctor.
Eye injury in a child
Applying first aid measures
for an eye injury in a child may be difficult, depending on the child's age,
size, and ability to cooperate. Having another adult help you treat the child
is helpful. Stay calm and talk in a soothing voice. Use slow, gentle movements
to help the child remain calm and cooperative. A struggling child may need to
be held strongly so that first aid can be started and the seriousness of the
eye injury assessed.
Medicine you can buy without a prescription
Try a nonprescription
medicine to help treat your fever or pain:
Aspirin (also a nonsteroidal
anti-inflammatory drug), such as Bayer or Bufferin
Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine.
Safety tips
Be sure to follow
these safety tips when you use a nonprescription medicine:
Carefully read and follow all
directions on the medicine bottle and box.
Do not take more than
the recommended dose.
Do not take a medicine if you have had an
allergic reaction to it in the past.
If
you have been told to avoid a medicine, call your doctor before you take
it.
If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
Wear
safety glasses, goggles, or face shields when you
hammer nails or metal, work with power tools or chemicals, or do any activity
that might cause a burn to your eyes. If you work with hazardous chemicals that
could splash into your eyes, know how to flush chemicals out, and know the
location of the nearest shower or sink.
If you are welding or near
someone else who is welding, wear a mask or goggles designed for welding.
Wear protective eyewear during sports such as hockey, racquetball,
or paintball that involve the risk of a blow to the eye. Baseball is the most
common sport to cause eye injuries. Fishhook injuries are another common cause
of eye injuries. Protective eyewear can prevent sports-related eye injuries
more than 90% of the time. An eye examination may be helpful in determining
what type of protective eyewear is needed.
Injuries from
ultraviolet (UV) light can be prevented by wearing
sunglasses that block ultraviolet (UV) rays and by wearing broad-brimmed hats.
Be aware that the eye can be injured from sun glare while boating, sunbathing,
or skiing. Use eye protection while you are under tanning lamps or using
tanning booths. Laser pointers have not been shown to cause eye
injury.
Wear your seat belt when in a motor vehicle. Use
child car seats.
Prevention tips for children
Eye injuries are
common in children, and many can be prevented. Most eye injuries happen in
older children. They happen more often in boys than in girls. Toys-from crayons
to toy guns-are a major source of injury, so check all toys for sharp or
pointed parts. Household items, such as elastic cords, can also strike the eye
and cause injury.
Teach your children about eye safety.
Be a good role model-always wear proper eye
protection.
Get protective eyewear for your children and help them
use it properly.
Teach children that flying toys should never be
pointed at another person.
Teach children how to carry sharp or
pointed objects properly.
Teach children that any kind of missile,
projectile, or BB gun is not a toy.
Use safety measures near fires
and explosives, such as campfires and fireworks.
Any eye injury that appears unusual for a child's age
should be evaluated as possible child
abuse.
If you have had an eye
injury that affects your vision, have someone else drive you to your doctor. If
you are wearing contact lenses, remove them and take your glasses with
you.
You can help your doctor diagnose and treat your condition by
being prepared to answer the following questions.
What are your main symptoms? How long have you
had your symptoms?
How and when did the injury
occur?
Have you had any injuries in the past to the same eye? Do
you have any continuing problems because of the previous injury?
Is
there a foreign object in the eye? What is the object? Did it fall into the eye
or did it fly into the eye at high speed?
What type of substance
was splashed into your eye? How and when did it happen? Take the container with
you.
How did the heat (thermal) burn occur?
How did the
ultraviolet (UV) light burn occur?
Do you wear glasses or contacts?
Did you remove your contact lens? Has the injury affected your vision (as
corrected with glasses or contacts)?
What kind of vision changes
are you having (not related to removing your eyeglasses or contact
lenses)?
What home treatment have you tried? Did you
flush your eye with water for 30 minutes as a first aid measure? Did it
help?
What prescription or nonprescription medicines have you used?
Did they help?
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