What should be done in an eye emergency?

Seek medical attention as soon as possible following an injury, particularly if you have pain in the eye, blurred vision or loss of any vision. Several simple first aid steps can and should be taken until medical assistance is obtained. Male wearing safety glasses

First aid for chemicals in the eye:

Immediately flush the eye with water for at least 15 minutes. Place the eye under a faucet or shower, use a garden hose, or pour water into the eye from a clean container.

If you are wearing contact lenses, immediately remove them before flushing the eye.

Do not try to neutralize the chemical with other substances.

Do not bandage the eye.

Seek immediate medical attention after flushing.

First aid for particles in the eye:

Do not rub the eye.

Foreign particles in the eye, dust, dirt, particles, or insects, do not rub the eye!

Try to let your tears wash the speck out or irrigate the eye with an artificial tear solution.

Try lifting the upper eyelid outward and down over the lower eyelid to remove the particle.

If the particle does not wash out, keep the eye closed, bandage it lightly and seek medical care.

Large particles, particularly metallic ones, may cause rusting spots on the eye if left untreated. If you are unsure if the object is gone, do not delay medical care.

First aid for blows to the eye:

Gently apply a cold compress without putting pressure on the eye. Crushed ice in a plastic bag can be placed gently on the injured eye to reduce pain and swelling.

In cases of severe pain or reduced vision, seek immediate medical attention.

First aid for cuts and punctures to the eye or eyelid:

Do not attempt to remove an object that is stuck in the eye or eyelid.

Cover the eye with a rigid shield, like the bottom half of a paper or plastic cup. Tape this securely in place, or bandage the cover with a clean dressing.

Seek immediate emergency medical attention or dial 911.

Guidelines for The Use of Contact Lenses In Industrial Environments

The American Optometric Association has adopted the following policy statement concerning the use of contact lenses in industrial environments:

"Contact lenses may be worn in some hazardous environments with appropriate covering safety eyewear. Contact lenses of themselves do not provide eye protection in the industrial sense."

Most successful contact lens wearers wish to wear their contact lenses in all aspects of their lives, including the workplace. This may conflict with government or industry imposed restrictions on the use of contact lenses in a given industrial environment. These restrictions, in turn, may be unreasonable and discriminatory.

In risk management it is necessary to balance risk with benefits and to differentiate perceived risk from actual risk. Because both contact lenses or certain environments may produce adverse ocular effects it is tempting to assume that there may be additive or synergistic effects when contact lenses are worn in that environment. When considering the advisability of wearing contact lenses in a given industrial setting a number of questions should be addressed:

Is there an actual hazard?
Does the wearing of contact lenses place the eye at greater risk than a naked eye?
Does the removal of the contact lens increase the risk to the eye, the wearer or co-workers?
Is the risk different for various contact lens materials and designs?
Are there other risks to the wearer or co-workers?
Do contact lenses decrease the efficacy of other safety strategies?

Ocular hazards are greater in some occupations than others. Those who prescribe contact lenses for industrial workers should be concerned as to the advisability of wearing the lenses in a given environment. The type of work may influence the selection of lens material and design, and wearing the replacement schedules. The following factors may be of value in making these decisions:

The toxic chemicals and/or physical agents that may be encountered
Raw material and by-products involved
Potential for ocular exposure
Protective equipment provided, available and used
Hygiene facilities available
Presence or absence of health and safety personnel
Factors that may influence compliance with cleaning and wearing schedules

An evaluation of the published material, including laboratory and human studies, and well documented case reports, indicates that contact lenses may be worn safely under a variety of environmental situations including those which, from a superficial evaluation, might appear hazardous. Indeed, some types of contact lenses may give added protection to spectacle lens and non-spectacle lens wearers in instances of certain fume exposure, chemical splash, dust, flying particles and optical radiation. The evidence also refutes the claims that contact lenses negate the protection provided by safety equipment or make the cornea more susceptible to damage by optical radiation, in particular arc flashes. Thus a universal ban of contact lenses in the workplace or other environments is unwarranted.

Regulations limiting the wearing of contact lenses in any given circumstance must be scientifically defensible and effectively enforceable. They should not be based on perceived hazards, random experience, isolated unverified case histories or unsubstantiated personal opinions.

Conversely, it would be imprudent for a practitioner to prescribe contact lenses in order to circumvent uncorrected visual acuity standards in those occupations where individuals may be required to function without correction on some occasions or in environments contraindicated for the type of lens prescribed.

All practitioners must stress that personal protective equipment, including safety eyewear, is not replaced by contact lenses.

Where circumstances create the necessity eye protection must be worn.