EYE PAIN/EYELID INFLAMMATION

Oklahoma State Health Department 01-2018 Revised

EYE PAIN/EYELID INFLAMMATION

Blepharitis is commonly called eyelid inflammation. There are two types of eye inflammation: anterior and posterior. Anterior eye inflammation occurs on the outside of the eye where the eyelashes are located. Posterior eyelid inflammation occurs on the inner edge of the eyelids closest to the eye. Pain, irritation, dry eyes, vision loss due to injury, foreign body, infection, stye or environmental allergies

History:

Head/face injury or chemical exposure (If injury, how and when when did the injury occur If substance was splashed into eye, what was the substance and do you have the container

available Watering of eyes Vision changes Pain Sensation of "sand" in the eye Bleeding or drainage Medications (Have any medications or eye drops been put in the eye) Main symptoms and how long have those symptoms been present What interventions have already been performed (removed the object, flushed with water)

Assessment:

Assess for: o Trauma to the eye o Is the person wearing contact lenses o Obvious signs of injury or foreign body (if foreign body, what is the object) o Vision precision, blurred vison, double vision o Sudden onset of pain (describe pain) o Visual disturbances such as: halos around lights, floaters o Loss of vision with nausea o Sensitivity to light o Drainage, a crust on the eyelashes or in the corner of the eyes o Color of sclera (red eye is caused by swollen or dilated blood vessels o Swelling of the eyelids or parts of the eye, , itching, eye pain o Red bump pimple on the eyelid or eyelash line, red or inflamed eyelids

Treatment:

If the person is wearing contacts, have them remove them immediately. Keeping them in your eyes may hold the irritant in the eye causing more damage

Chemical exposure: Irrigate with a gentle stream of water or saline for 20 minutes Avoid rubbing the eye(s) Foreign body:

o Irrigate with a gentle stream of water or saline for 15 minutes o DO NOT attempt to remove an object embedded in an eye or apply pressure Stye: Apply warm compress for 10 minute several times a day Keep eyelids clean: Use warm, moist cloth to remove crusts and drainage from eyelids Protect eye from further damage

Refer to Primary Care Provider:

Eye Pain-1

 Any suspected case of infection All infants under 12 months of age Any stye not resolved in 3 days

Oklahoma State Health Department 01-2018 Revised

Refer to Emergency Room

Sudden onset of pain accompanied by spots, floaters and flashes of light. (May be experiencing the warning signs of a detached retina)

Pain increases or continues

Call EMS:

Any injury associated with vision loss or change Any burn or bleeding of the eyeball Any puncture wound or foreign object

References:

WebMD. First Aid & Emergencies, First Aid for Eye Injuries. Retrieved 9-30-16 at

Surtenich, A. Heiting, G. O.D., Red Eyes, Bloodshot Eyes: Causes and Treatment. (March 2016). Retrieved 10-1-16 at .

Eye Pain-2

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