|For minor injuries, the eyelid and area surrounding the eye is gently washed with mild soap and water. If there are abrasions or lacerations of the lids, foreign bodies on the surface of the eye, or corneal abrasions, the eye is irrigated with saline, particulate matter is removed, and antibiotic ointment and a sterile dressing are applied. |
In the first 24 hours, ice packs are placed on the eyelid to reduce swelling and decrease internal bleeding. After the first day, warm compresses may be used every 1 to 2 hours to relieve tenderness and aid in resorption of the blood. Sunglasses may be worn to protect the eyes from bright light. The individual's head should be elevated during sleep until symptoms subside. Acetaminophen is usually recommended for pain; aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) should not be used because of their tendency to increase bleeding. Other medications may include antibiotics to prevent infection, and/or eye drops to reduce inflammation and minimize bleeding.
If a lid, scleral, or corneal laceration has occurred, treatment may include sutures. Microsurgical techniques are used to close anterior segment wounds. Individuals with bleeding within the front (anterior) chamber of the eye (hyphema) exceeding 5% require bed rest, medication and daily re-examination of the eye. Surgical evacuation of the hyphema is necessary if the intraocular pressure remains elevated.
Source: Medical Disability Advisor
|ACOEM's Practice Guidelines, the gold standard in effective medical treatment of occupational injuries and illnesses, are provided in this section to complement the disability duration guidelines.*|
|* The relationship between the MDGuidelines (MDA) content and ACOEM's guidelines is approximate and does not always link identical diagnoses. The user should consult the diagnostic codes in both guidelines, as well as the clinical descriptions, before assuming an equivalence.|
Source: ACOEM Practice Guidelines