Home >> Standard Physician >> Gelatinum to Or Spirits Of Wine >> Injuries Eye

Injuries Eye

body, usually, injury and foreign

EYE, INJURIES TO.—Lesions resulting from external violence to the organ of sight must always be considered very serious. They demand immediate medical attention, and preferably that of a specialist. Even slight outward evidences of injury, such as discoloration of the eyeball by blood, may mean laceration of the membranes in the interior of the eye and hxmorrhage into the vitreous body. An important point in the prognosis depends on whether or not the injury has resulted in opening the eyeball and establishing a communication between the interior of the eve and the external air. Where this has not occurred, as in contusions and concussions, healing takes place rapidly ; whereas in the other case there is usually loss of sight and destruction of the entire eve. The severe character of such an injury is due to the fact that objects which penetrate the eye are usually unclean, and thus bring about suppuration. The contraction of the eyeball results in gradual loss of vision. Moreover, it often happens that the surgeon is compelled to enucleate the affected organ when it is found impossible to check the inflammation, and prevent it from involving the healthy eye.

The treatment of injuries to the eye should usually be left entirely to the physician, and while waiting for his arrival the eye should merely be covered with a clean handkerchief. Simple contusions may be treated

by the application of cold compresses. Where the injury is due to the entrance of chloride of lime, as many of the particles as possible should be removed by irrigation with water, milk, or oil, and also by gently wiping out the conjunctival sac. Foreign bodies, such as bits of coal and steel, are usually to be found on the inner surface of one of the lids, more frequently the upper, or they are embedded in the cornea. The patient will but rarely succeed in removing them by stroking the eye in a direction from the temple toward the nose, or by wiping the cornea with the lid everted. If the rubbing is clone too forcibly, the foreign body becomes embedded more firmly in the eye, the irritation increases, and the pain grows more severe. In such a case it is better to protect the eye with a clean cloth and allow the offend ing body to be removed by a physician. The manner in which the upper lid may be everted for the purpose of exposing the foreign body, is shown in Plate XII., Fig. 1. Even after the removal of the foreign object the sensation caused by its presence persists for a time. Steel splinters Nvli ic h have become lodged in the vitreous body, or in other deep parts of the eye, must be extracted with a magnet devised for this purpose.