Superficial foreign body removal

Corneal debridement Punctal plug insertion Subconjunctival injection Superficial foreign body removal Suture barb removal... 

If the foreign body is very superficial, if patient cooperation is poor (e.g., a small child), or if particulate debris in the conjimctival sac accompanies the corneal foreign body, removal can be attempted by irrigation with sterile saline solution. It is helpful to direct the stream of solution from the bottle toward the foreign body in an attempt to dislodge it. 

Approximately 42% to 64% of RCEs occur after superficial trauma to the cornea. Fingernail injuries are reported to be the most common cause of traumatic RCE. Other causes of traumatic RCE include injuries from paper, cardboard, vegetative material, contact lenses, foreign body removal, and trauma to the epithelium during LASIK. 

The corticosteroid ophthalmic preparations are contraindicated in patients with acute superficial heq es simplex keratitis, fungal disease of the eye, or viral diseases of the eye, and after removal of a superficial comeal foreign body. 

Acute epithelial herpes simplex keratitis (dendritic keratitis) fungal diseases of ocular structures vaccinia, varicella and most other viral diseases of the cornea and conjunctiva ocular tuberculosis hypersensitivity after uncomplicated removal of a superficial corneal foreign body mycobacterial eye infection acute, purulent, untreated eye infections that may be masked or enhanced by the presence of steroids. 

Treatment of corneal ulcers, conjunctivitis and other superficial infections of the eye, pro-phylaxis after injuries to the eye/removal of foreign bodies, adjunctive therapy for trachoma and inclusion conjunctivitis Ophthalmic Solution l-Sdropstolowerconjunc-tival sac q2-3h. Seborrheic dermatitis, seborrheic sicca (dandruff), secondary bacterial skin infections Topical Ointment Apply small amount in lower conjunctival sac 1 -4 times/day and at bedtime. 

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