Eyelid Foreign Body

Aka: Eyelid Foreign Body, Periocular Foreign Body

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II. Causes

  1. Shattered particles at work (nails, wood)
  2. Explosions (Gunshot, Fireworks)
  3. Projectiles (Shotguns, BB guns)

III. Pathophysiology

  1. Foreign body may lodge in multiple soft tissues
    1. Lid
    2. Orbit
    3. Eyeball
  2. Immediate risks are to eyeball damage
    1. Depth of penetration is key

IV. Management

  1. Immediate removal of penetrating foreign body
    1. Best performed by ophthalmologist
      1. Risk of globe penetration
  2. Transport to ophthalmologist with eye protected
    1. Paper cup is taped over eye
    2. Avoids pressure on foreign body against eye

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