=CINDERS AND OTHER FOREIGN BODIES IN THE EYE.=[4]--Foreign bodies are
most frequently lodged on the under surface of the upper lid, although
the surface of the eyeball and the inner aspect of the lower lid
should also be carefully inspected. A drop of a two per cent solution
of cocaine will render painless the manipulations. The patient should
be directed to continue looking downward, and the lashes and edge of
the lid are grasped by the forefinger and thumb of the right hand,
while a very small pencil is gently pressed against the upper part of
the lid, and the lower part is lifted outward and upward against the
pencil so that it is turned inside out. The lid may be kept in this
position by a little pressure on the lashes, while the cinder, or
whatever foreign body it may be, is removed by gently sweeping it off
the mucous membrane with a fold of a soft, clean handkerchief. (See
Figs. 6 and 7.)
[Illustration: FIG. 6.
FIG. 7.
REMOVING A FOREIGN BODY FROM THE EYE.
In Fig. 6 note how lashes and edge of lid are grasped by forefinger
and thumb, also pencil placed against lid; in Fig. 7 lid is shown
turned inside out over pencil.]
Hot cinders and pieces of metal may become so deeply lodged in the
surface of the eye that they cannot be removed by the method
recommended, or by using a narrow slip of clean white blotting-paper.
All such cases should be very speedily referred to a physician, and
the use of needles or other instruments should not be attempted by a
layman, lest permanent damage be done to the cornea and opacity
result. Such procedures are, of course, appropriate for an oculist,
but when it is impossible to secure medical aid for days it can be
attempted without much fear, if done carefully, as more harm will
result if the offending body is left in place. It is surprising to see
what a hole in the surface of the eye will fill up in a few days. If
the foreign body has caused a good deal of irritation before its
removal, it is best to drop into the eye a solution of boric acid (ten
grains to the ounce of water) four times daily.
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