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Eye - foreign object in

Foreign body; Particle in the eye

 

Information

The eye will often flush out small objects, like eyelashes and sand, through blinking and tearing. DO NOT rub the eye if there is something in it. Wash your hands before examining the eye.

Examine the eye in a well-lighted area. To find the object, look up and down, then from side to side.

  • If you can't find the object, grasp the lower eyelid and gently pull down on it to look inside the lower eyelid. To look inside the upper lid, you can place a cotton-tipped swab on the outside of the upper lid and gently fold the lid over the cotton swab.
  • If the object is on an eyelid, try to gently flush it out with water or eye drops. If that does not work, try touching a second cotton-tipped swab to the object to remove it.
  • If the object is on the white of the eye, try gently rinsing the eye with water or eye drops. Or you can GENTLY touch a cotton swap to the object to try to remove it. If the object is on the colored part of the eye, DO NOT attempt to remove it. Your eye may still feel scratchy or uncomfortable after removing an eyelashes or other tiny object. This should go away within a day or two. If you continue to have discomfort or blurred vision, get medical help.

Contact your health care provider and DO NOT treat yourself if:

  • You have a lot of eye pain or sensitivity to light.
  • Your vision is decreased.
  • You have red or painful eyes.
  • You have flaking, discharge, or a sore on your eye or eyelid.
  • You have had trauma to your eye, or you have a bulging eye or a drooping eyelid.
  • Your dry eyes do not get better with self-care measures within a few days.

If you have been hammering, grinding, or could have come in contact with metal fragments, DO NOT attempt any removal. Go to the nearest emergency room immediately.

 

References

Butler FK. The eye in the wilderness. In: Auerbach PS, ed. Wilderness Medicine . 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 28.

Crouch ER, Crouch ER, Grant TR. Ophthalmology. In: Rakel RE, Rakel D, eds. Textbook of Family Medicine . 9th ed. Philadelphia, PA: Elsevier; 2016:chap 17.

Engel K, Page M, Montezuma S, Cameron JD. Retinoblastoma. In: Tasman W, Jaeger EA, eds. Duane's Foundations of Clinical Ophthalmology . 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:vol 3;chap 6.

Knoop KJ, Dennis WR, Hedges JR. Ophthalmologic procedures. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine . 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 62.

 
  • Eye - illustration

    The eye is the organ of sight, a nearly spherical hollow globe filled with fluids (humors). The outer layer or tunic (sclera, or white, and cornea) is fibrous and protective. The middle tunic layer (choroid, ciliary body and the iris) is vascular. The innermost layer (the retina) is nervous or sensory. The fluids in the eye are divided by the lens into the vitreous humor (behind the lens) and the aqueous humor (in front of the lens). The lens itself is flexible and suspended by ligaments which allow it to change shape to focus light on the retina, which is composed of sensory neurons.

    Eye

    illustration

  • Eyelid eversion - illustration

    To help find an object that is in the eye, grasp the lower eyelid and gently pull down on it to look under the lower eyelid. To look under the upper lid, place a cotton-tipped swab on the outside of the upper lid and gently flip the lid over the cotton swab.

    Eyelid eversion

    illustration

  • Foreign objects in eye - illustration

    Foreign objects in the eye usually are flushed out through the natural blinking and tearing action of the eye. If the foreign body can be seen on the inner surface of either the lower or upper lid, try to gently flush it out with water or use a cotton-tipped swab to invert the eyelid and inspect the underside. Seek medical attention if the foreign body cannot be removed, or if there is still discomfort or blurred vision after removal.

    Foreign objects in eye

    illustration

    • Eye - illustration

      The eye is the organ of sight, a nearly spherical hollow globe filled with fluids (humors). The outer layer or tunic (sclera, or white, and cornea) is fibrous and protective. The middle tunic layer (choroid, ciliary body and the iris) is vascular. The innermost layer (the retina) is nervous or sensory. The fluids in the eye are divided by the lens into the vitreous humor (behind the lens) and the aqueous humor (in front of the lens). The lens itself is flexible and suspended by ligaments which allow it to change shape to focus light on the retina, which is composed of sensory neurons.

      Eye

      illustration

    • Eyelid eversion - illustration

      To help find an object that is in the eye, grasp the lower eyelid and gently pull down on it to look under the lower eyelid. To look under the upper lid, place a cotton-tipped swab on the outside of the upper lid and gently flip the lid over the cotton swab.

      Eyelid eversion

      illustration

    • Foreign objects in eye - illustration

      Foreign objects in the eye usually are flushed out through the natural blinking and tearing action of the eye. If the foreign body can be seen on the inner surface of either the lower or upper lid, try to gently flush it out with water or use a cotton-tipped swab to invert the eyelid and inspect the underside. Seek medical attention if the foreign body cannot be removed, or if there is still discomfort or blurred vision after removal.

      Foreign objects in eye

      illustration

    A Closer Look

     

      Talking to your MD

       

        Self Care

         

          Tests for Eye - foreign object in

           

           

          Review Date: 11/4/2015

          Reviewed By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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