May 16, 2011 by dailybolusoflr
This device is used for ocular irrigation when there is a toxic exposure, foreign body or the need for continuous infusion of medication to the corneal surface.
It can be rapidly inserted and attached to irrigation solution. Patients are able to keep their eyes closed with the lens in place, which is comforting to patients during irrigation.
1. Apply a topical anesthetic to the eye
2. The device should be set up and flow of the solution should be started assuring a gentle stream of liquid PRIOR to inserting
3. Have the patient look down and insert the lens under the upper lid
4. Have the patient look up, retract the lower lid, and drop the lens in place.
5. Never let the lens get dry. . there should always be a steady stream of liquid. It should be left on when inserting and removing
6. Lactated Ringers is the preferred solution- over Normal Saline
Linda Regan, MD FACEP
Program Director, Emergency Medicine Residency
Johns Hopkins Medical Institutions