What You need to Know About Eye Emergencies

A sudden increase in eye pressure can cause intense pain, nausea, vomiting, and blurred vision. This needs immediate treatment, go to the ER or an ophthalmologist right away to avoid permanent optic nerve damage.

Infections like orbital cellulitis or endophthalmitis can develop after injuries, surgeries, or sinus infections, leading to severe swelling, redness, and fever. If your eye looks swollen shut or your vision is worsening, don’t wait, see an eye doctor or head to the ER immediately.

A penetrating eye injury from a sharp object, explosion, or high-speed impact can lead to permanent damage. Never press on the eye, cover it loosely and get emergency medical care right away.

Strong chemicals, especially alkalis like bleach or drain cleaner, can cause irreversible damage in minutes. Immediately rinse the eye with clean water or saline for at least 15 minutes, then seek emergency care.

Chemical injuries can result from exposure to household cleaning agents, garden chemicals, or industrial solvents. Depending on the chemical's nature, acidic or alkaline, the damage to the eye, particularly the cornea, can range from temporary haze to permanent impairment. It is crucial to seek professional help post-flushing, as even a short delay in treatment can lead to long-lasting damage.

• Acid Burns: Acidic chemicals may cause temporary hazing on the cornea, with a good chance of recovery if promptly treated.
• Alkaline Burns: Alkaline substances such as lime, lye, or drain cleaners can inflict severe and sometimes irreversible damage to the cornea.
• First Aid: The immediate response for any chemical injury should involve flushing the eye with large quantities of clean water or saline for at least 15 minutes. This helps dilute and wash away the chemical.
• Contact Lens Considerations: If the injured person wears contact lenses, ensure that they are flushed out unless rapid swelling requires immediate removal.

Injuries such as cuts, scratches, or abrasions to the cornea can be extremely painful and may lead to complications if not effectively managed. The cornea is particularly sensitive and any damage there needs careful attention. If irritation, blurred vision, or persistent discomfort continues after initial first aid, it is vital to have our eye doctor evaluate the situation to prevent infection and long-term damage.

• Corneal Abrasion: Often caused by a foreign object or accidental rubbing, these injuries result in sharp pain, light sensitivity, and tearing.
• Eyelid Lacerations: Cuts on the eyelid can sometimes extend to the eyeball and may lead to bleeding or infection if left untreated.
• Proper First Aid: Apply a clean cold compress to reduce pain and swelling, but never apply pressure directly on the eyeball. Cover the area with a sterile dressing if necessary.

Blunt trauma occurs when a forceful impact from an object, such as a fist, tennis ball, or airbag, strikes the eye or surrounding facial area. Immediate first aid for blunt trauma includes applying a clean cold compress to reduce swelling and pain. Avoid placing pressure directly on the eye, and monitor for changes in vision which may indicate more serious internal injury. This can lead to a range of complications:

• Black Eye and Bruising: The tissue around the eye may bruise, turning black and blue, and progress through other colors (purple, green, yellow) as healing occurs. This is due to bleeding under the skin.
• Swelling: Eyelid and surrounding tissue can become swollen, sometimes causing pressure on the eye itself.
• Hyphema: Bleeding within the front of the eye, potentially obscuring your view of the iris and pupil.
• Orbital Fractures: In severe cases, a blow to the eye can result in fractures around the eye socket that require urgent medical care.

Penetrating eye injuries occur when a sharp or high-speed object, such as a knife, nail, or shard of metal, pierces the eye or its surrounding structures. These injuries are particularly dangerous and often require surgical repair. For foreign bodies on the eye or eyelid, it is essential to rinse gently with water or saline using proper first aid techniques, such as using a cotton swab for very superficial objects. Always avoid rubbing the eye, as doing so can worsen the injury.

• Foreign Bodies: Small particles like dust, sand, or metal fragments may become embedded in the cornea (the clear tissue covering the eye) or on the surface of the eyelid.
• Embedded Objects: When an object is visibly stuck in the eye or eyelid, do not attempt to remove it. It is critical to leave the object in place, gently cover the eye, and seek immediate eye doctor consultation.
• Tools and Safety: Items thrown at high speeds during machining, grinding, or hammering can cause significant damage and must be handled as serious emergencies.