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| ==Background==
| | #REDIRECT[[Ocular foreign body]] |
| *Must rule-out intraocular foreign body and corneal laceration
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| ==Clinical Features==
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| *Foreign body sensation
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| *Photophobia (+/- consensual)
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| *Decreased vision
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| *Relief of pain with topical anesthesia
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| ==Differential Diagnosis==
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| {{Unilateral red eye DDX}}
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| ==Diagnosis==
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| *Evaulate for penetrating injury
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| *Should have negative Seidel sign (no streaming of fluorescein out of eye)
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| *Intraocular foreign body?
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| **If concern for foreign body but none visualized on external exam consider CT orbit
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| ==Treatment==
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| ===Foreign Body Removal===
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| *Anesthetize eye
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| **Irrigate with NS
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| *Moistened cotton swab
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| *25G needle
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| **Approach from tangential angle
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| ===Rust Rings===
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| *Not necessary to remove in the ED; refer to ophtho for definitive removal
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| ===Prophylactic Antibiotics===
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| {{Corneal Abrasion Antibiotics}}
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| ==Disposition==
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| *Ophtho f/u in 48h for routine cases
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| *Ophtho f/u in 24h for rust ring removal
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| ==Source==
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| ==See Also==
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| *[[Corneal abrasion]]
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| *[[Eye Algorithms (Main)]]
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| *[[Corneal Ulcer]]
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| *[[Conjunctival Abrasion]]
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| *[[Foreign bodies]]
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| [[Category:Ophtho]]
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