II. Causes
- Shattered particles at work (nails, wood)
- Explosions (Gunshot, Fireworks)
- Projectiles (Shotguns, BB guns)
III. Pathophysiology
- Foreign body may lodge in multiple soft tissues
- Lid
- Orbit
- Eyeball
- Immediate risks are to eyeball damage
- Depth of penetration is key
IV. Management
- Immediate removal of penetrating foreign body
- Best performed by ophthalmologist
- Risk of globe penetration
- Best performed by ophthalmologist
- Transport to ophthalmologist with eye protected
- Paper cup is taped over eye
- Avoids pressure on foreign body against eye