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Corneal Foreign Body

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2. Corneal (Foreign Body)

Corneal (Foreign Body) Corneal (or other superficial ocular) foreign body submit The College submit You're here: Corneal (or other superficial ocular) foreign body Corneal (or other superficial ocular) foreign body The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology Patient often gives history of foreign body entering eye wind blown high (...) velocity (hammering, grinding) DIY and gardening Predisposing factors Lack of suitable eye protection Symptoms Typically unilateral Irritation/foreign body sensation/pain Lacrimation Blurred vision Red eye Signs Foreign body adherent to ocular surface Linear corneal scratches Corneal rust ring from ferrous foreign body Surrounding ring of oedema and infiltrate if longstanding Subconjunctival haemorrhage may be present Differential diagnosis History is important high velocity particles – risk of globe

2018 College of Optometrists

3. The removal of imbedded corneal foreign bodies to any person presenting to an optometrist

The removal of imbedded corneal foreign bodies to any person presenting to an optometrist 1 Public Summary Document Application No. 1243: The removal of superficial embedded corneal foreign bodies by an optometrist Applicant: Optometrists Association of Australia Date of MSAC consideration: MSAC 62 nd Meeting, 26-28 November 2014 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, see at www.msac.gov.au 1. Purpose of application and links to other applications (...) An application requesting MBS listing of removal of a superficial embedded corneal foreign body (CFB) for any person presenting to an optometrist was received from the then Optometrists Association of Australia (now Optometry Australia) by the Department of Health in February 2011. The application related to a new MBS item by which optometrists may bill for the service described. 2. MSAC’s advice to the Minister MSAC supported public funding of a new MBS item for removal of superficial embedded corneal

2014 Medical Services Advisory Committee

4. The removal of imbedded corneal foreign bodies by an optometrist

The removal of imbedded corneal foreign bodies by an optometrist The removal of imbedded corneal foreign bodies by an optometrist The removal of imbedded corneal foreign bodies by an optometrist Medical Services Advisory Committee Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Medical Services Advisory Committee. The removal of imbedded corneal foreign bodies (...) by an optometrist. Canberra: Medical Services Advisory Committee (MSAC). MSAC application 1243. 2014 Authors' conclusions An imbedded corneal foreign body is normally removed using a hypodermic needle, foreign body gouge, fine forceps or similar surgical instrument under magnification provided by a slit lamp biomicroscope. The technique used depends upon the location, depth and degree of 'imbeddedness', as well as the foreign body material. The aim is to remove the foreign body with minimal ocular tissue

2014 Health Technology Assessment (HTA) Database.

5. In suspected corneal foreign body should local anaesthetic be applied before or after eye examination?

In suspected corneal foreign body should local anaesthetic be applied before or after eye examination? BestBets: In suspected corneal foreign body should local anaesthetic be applied before or after eye examination? In suspected corneal foreign body should local anaesthetic be applied before or after eye examination? Report By: Anne Bonnici Mallia - F2 Emergency Medicine Search checked by Katharine Wylie - Institution: Ysbyty Gwynedd, Bangor, Gwynedd. Wales, Emergency Department, The Manchester (...) Royal Infirmary, Manchester, UK Date Submitted: 9th February 2015 Date Completed: 1st July 2015 Last Modified: 1st July 2015 Status: Green (complete) Three Part Question In [a patient presenting with a suspected corneal foreign body] is [instillation of anaesthetic drops before eye examination better than installation after eye examination] at [allowing identification and removal of any foreign bodies]? Clinical Scenario A 47-year-old man presents complaining of a painful gritty sensation within his

2015 BestBETS

6. Foreign Body (sub-tarsal)

blown from unknown source Predisposing factors Lack of suitable eye protection Symptoms Foreign body sensation / acute pain Lacrimation Red eye Signs Possible fluorescein staining of cornea foreign body tracks, often vertical Embedded material on tarsal conjunctival surface Hyperaemia Differential diagnosis Dendritic ulcer Corneal abrasion (e.g. from contact lens) Superficial punctate keratopathy of another cause NB: check cornea for adherent/embedded material Management by optometrist Practitioners (...) Foreign Body (sub-tarsal) Sub-tarsal foreign body (STFB) submit The College submit You're here: Sub-tarsal foreign body (STFB) Sub-tarsal foreign body (STFB) The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology Patient may give history of foreign body entering eye particle falling into eye (rust while working under car, DIY debris) wind

2018 College of Optometrists

7. Removal of intraocular foreign body in anterior chamber angle with prism contact lens and 23-gauge foreign body forceps (PubMed)

vs 3.95±1.17 mm; P<0.05). The corneal limbus incision suturing were conducted in all eyes in group A, and only 5 eyes in group B.Removal of ACFB using a prism contact lens and 23-gauge foreign body forceps is a safer, more effective, and convenient technique compared with the conventional approach. (...) Removal of intraocular foreign body in anterior chamber angle with prism contact lens and 23-gauge foreign body forceps To introduce a novel approach in removal of anterior chamber angle foreign body (ACFB) using a prism contact lens and 23-gauge foreign body forceps.Data of 42 eyes of 42 patients who had undergone removal of ACFB using a prism contact lens and 23-gauge foreign body forceps from January 2008 to October 2013 were collected and analyzed. Twenty eyes in group A received

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2017 International journal of ophthalmology

8. The role of anterior segment optical coherence tomography in the management of an intra-corneal foreign body (PubMed)

The role of anterior segment optical coherence tomography in the management of an intra-corneal foreign body Corneal foreign bodies are reported to be the second most common type of ocular injury. Anterior segment optical coherence tomography (AS-OCT) is a valuable tool for the early diagnosis and monitoring the progress of treatment in cases of ocular trauma. Herein we aimed to report on a patient with an intra-corneal foreign body and the role of AS-OCT in management.A 34-year-old male (...) presented with foreign body sensation in his left eye. Slit-lamp biomicroscopic examination revealed a peripherally located intrastromally embedded foreign body with a free anterior edge extending outwards from the cornea. It was not possible to visualize the foreign body's entire route through the cornea because of localized corneal edema. AS-OCT showed shadowing of the corneal layers corresponding to the location of the corneal foreign body. A hyper-reflective lesion was observed close to the inside

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2016 SpringerPlus

9. Acute conjunctivitis and corneal foreign bodies secondary to tarantula hairs (PubMed)

Acute conjunctivitis and corneal foreign bodies secondary to tarantula hairs 26283718 2016 06 27 2018 11 13 1488-2329 188 3 2016 Feb 16 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Acute conjunctivitis and corneal foreign bodies secondary to tarantula hairs. 212-4 10.1503/cmaj.150571 Yang Yelin Y Faculty of Medicine (Yang), University of Ottawa, Ottawa, Ont.; Department of Ophthalmology and Visual Sciences (Christakis, Mireskandari), University (...) , Ont. kamiar.mireskandari@sickkids.ca. eng Case Reports Journal Article 2015 08 17 Canada CMAJ 9711805 0820-3946 AIM IM Animals Child, Preschool Conjunctivitis diagnosis Cornea Eye Foreign Bodies diagnosis Hair Humans Male Spiders 2015 8 19 6 0 2015 8 19 6 0 2016 6 28 6 0 ppublish 26283718 cmaj.150571 10.1503/cmaj.150571 PMC4754184 CLAO J. 2000 Apr;26(2):111-2 10810943 Cornea. 2000 May;19(3):393-4 10832706 Eye (Lond). 2004 May;18(5):540-3 15131691 Am J Trop Med Hyg. 1973 Jan;22(1):130-3 4684884 Can

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2016 CMAJ : Canadian Medical Association Journal

10. Corneal Foreign Body

Corneal Foreign Body Corneal Foreign Body Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Corneal Foreign Body Corneal Foreign Body (...) Aka: Corneal Foreign Body , Cornea Foreign Body From Related Chapters II. Pathophysiology Usually clipped or broken metallic particles Particles embed in with significant force III. Management Check prior to removal Apply topical anesthetic to affected eye Attempt removal with sterile saline irrigation Flow directed toward foreign body may dislodge it Attempt removal with damp sterile cotton swab Attempt removal with 25 gauge needle tip (or similar spud) Brace hand against patient's face Position

2018 FP Notebook

11. Creation of a Realistic Model for Removal of a Metallic Corneal Foreign Body for Less than $75 (PubMed)

Creation of a Realistic Model for Removal of a Metallic Corneal Foreign Body for Less than $75 28116022 2017 05 25 2018 11 13 1936-9018 18 1 2017 Jan The western journal of emergency medicine West J Emerg Med Creation of a Realistic Model for Removal of a Metallic Corneal Foreign Body for Less than $75. 121-125 10.5811/westjem.2016.10.32234 Sayegh Julie S JS University of California, Irvine, School of Medicine, Irvine, California; University of California, Irvine, UC Irvine Medical Center (...) Medical Center, Orange, California. eng Journal Article 2016 12 15 United States West J Emerg Med 101476450 1936-900X IM Cornea surgery Emergency Medicine economics education Eye Foreign Bodies surgery Eye, Artificial Head Humans Internship and Residency Models, Anatomic Students, Medical Teaching Materials economics United States By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could

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2016 Western Journal of Emergency Medicine

12. Pterygium surgery combined with the removal of a missed occult iris foreign body detected incidentally during pterygium examination: a case report. (PubMed)

sensation and persistent redness in both eyes for 2 years. In the left eye, a pterygium, paracentral corneal opacity and a vertically oval pupil were observed. Ultrasound biomicroscopy and gonioscopy revealed a retained metallic-like foreign body partially embedded in the inferior peripheral iris. Pterygium surgery and the removal of the retained iris foreign body were performed simultaneously. No recurrent pterygium or residual foreign body was found during follow-up.A thorough history should (...) Pterygium surgery combined with the removal of a missed occult iris foreign body detected incidentally during pterygium examination: a case report. An occult foreign body may be retained in patient with small self-sealing wound and no decreased visual acuity without complete examination. Here we report a case of a retained occult ferrous iris foreign body detected incidentally during pterygium examination.A 69-year-old man presented to our ophthalmology department because of foreign body

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2019 BMC Ophthalmology

13. Intraoperative Macula Protection by Perfluorocarbon Liquid for the Metallic Intraocular Foreign Body Removal during 23-Gauge Vitrectomy (PubMed)

Intraoperative Macula Protection by Perfluorocarbon Liquid for the Metallic Intraocular Foreign Body Removal during 23-Gauge Vitrectomy Purpose. To evaluate visual and safety outcomes of 23-gauge (G) pars plana vitrectomy (PPV) with application of perfluorocarbon liquid (PFCL) for intraoperative protection of the macula during intraocular foreign body (IOFB) removal. Methods. Retrospective study of 42 patients who underwent 23 G PPV for IOFB removal from posterior segment with intraoperative (...) PFCL application for the macula shielding. Collected data included corrected distance visual acuity (CDVA), size of IOFB, and complication rate. The mean follow-up period was 12 months. Results. The mean preoperative CDVA was 0.54 logMAR (SD 0.46), and the final mean CDVA was 0.68 logMAR (SD 0.66). All IOFBs were metallic with mean dimensions of 4.6 mm × 2.1 mm. Twenty-two IOFBs were removed through the corneal tunnel and 20 IOFBs through the sclerotomy. No intraoperative iatrogenic lesion

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2017 Journal of ophthalmology

14. 25-Gauge Vitrectomy in Open Eye Injury with Retained Foreign Body (PubMed)

procedures to manage ocular correlated lesions. Results. The median age of patients was 37 years. The foreign body median size was 3.5 mm (size range, 1 to 10 mm). 25-gauge vitrectomy was performed within 12 hours of trauma. Foreign body removal occurred via a clear corneal or scleral tunnel incision or linear pars plana scleral access. Visual acuity improved in all patients. Endophthalmitis was never reported. Only two cases reported postoperative ocular hypertension resolved within the follow-up (...) 25-Gauge Vitrectomy in Open Eye Injury with Retained Foreign Body Purpose. Ocular trauma with retained foreign body is an important cause of visual impairment in working-age population. Clinical status impacts on the timing and planning of surgery. In the last year small gauge vitrectomy has become safer and more efficient, extending the range of pathologies successfully treated. Aims. To evaluate the safety and outcomes in patients with open eye injury with retained foreign body that underwent

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2017 Journal of ophthalmology

15. BET 3: In suspected corneal foreign body should local anaesthetic be applied before or after eye examination? (PubMed)

BET 3: In suspected corneal foreign body should local anaesthetic be applied before or after eye examination? A short cut review was carried out to establish whether local anaesthetic should be instilled before or after eye examination in suspected corneal foreign body. 83 papers were found in Medline, Embase and the Cochrane Library using the reported searches, but none presented any evidence to answer the clinical question. It is concluded that there is no evidence to guide the time

2015 Emergency Medicine Journal

16. Corneal abrasions

Corneal abrasions Corneal abrasions - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Corneal abrasions Last reviewed: February 2019 Last updated: March 2018 Summary Onset is usually sudden, and typical symptoms include a foreign body sensation (even if none present), photophobia, excessive tearing, blepharospasm, and blurry vision. Treatment involves adequate analgesia and topical antibiotics. Contact lens wearers (...) are at increased risk of Pseudomonas infection. Most abrasions heal within 1 or 2 days and have very few sequelae. Larger defects, or those associated with contact lens use, should have ophthalmological follow-up in 1 to 2 days to ensure healing. Complications are rare but include corneal ulceration and keratitis. Definition Corneal abrasions are corneal epithelial defects. They are common and are typically caused by mechanical trauma from external objects such as fingernails and branches, foreign bodies

2018 BMJ Best Practice

17. Corneal Foreign Body (Follow-up)

Corneal Foreign Body (Follow-up) Corneal Foreign Body Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5NTU4MS10cmVhdG1lbnQ= processing > Corneal (...) Foreign Body Treatment & Management Updated: Aug 17, 2018 Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Treatment Medical Care Management objectives include relieving pain, avoiding infection, and preventing permanent loss of function. Topical antibiotic drops (eg, polymyxin B sulfate-trimethoprim [Polytrim], ofloxacin [Ocuflox], tobramycin [Tobrex] qid) or ointment (eg, bacitracin [AK-Tracin

2014 eMedicine.com

18. Corneal Foreign Body (Diagnosis)

Corneal Foreign Body (Diagnosis) Corneal Foreign Body: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5NTU4MS1vdmVydmlldw== processing > Corneal Foreign Body Updated (...) : Aug 17, 2018 Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Overview Background Corneal foreign body is foreign material on or in the cornea, usually metal, glass, or organic material. Next: Pathophysiology Corneal foreign bodies generally fall under the category of minor ocular trauma. Small particles may become lodged in the corneal epithelium or stroma, particularly when projected toward

2014 eMedicine.com

19. Corneal Foreign Body (Treatment)

Corneal Foreign Body (Treatment) Corneal Foreign Body Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5NTU4MS10cmVhdG1lbnQ= processing > Corneal (...) Foreign Body Treatment & Management Updated: Aug 17, 2018 Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Treatment Medical Care Management objectives include relieving pain, avoiding infection, and preventing permanent loss of function. Topical antibiotic drops (eg, polymyxin B sulfate-trimethoprim [Polytrim], ofloxacin [Ocuflox], tobramycin [Tobrex] qid) or ointment (eg, bacitracin [AK-Tracin

2014 eMedicine.com

20. Corneal Foreign Body (Overview)

Corneal Foreign Body (Overview) Corneal Foreign Body: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5NTU4MS1vdmVydmlldw== processing > Corneal Foreign Body Updated (...) : Aug 17, 2018 Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Overview Background Corneal foreign body is foreign material on or in the cornea, usually metal, glass, or organic material. Next: Pathophysiology Corneal foreign bodies generally fall under the category of minor ocular trauma. Small particles may become lodged in the corneal epithelium or stroma, particularly when projected toward

2014 eMedicine.com

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