A 33-year-old man arrives after metal grinding without eye protection. Triage acuity is ESI 2; BP 130/78 mm Hg, HR 86/min. He has severe eye pain,

Question

A 33-year-old man arrives after metal grinding without eye protection. Triage acuity is ESI 2; BP 130/78 mm Hg, HR 86/min. He has severe eye pain, decreased vision, irregular pupil, and a peaked cornea. There is no proptosis. Which of the following is the most appropriate next step in management?

Accepted Answer

Place a rigid eye shield, give antiemetics and IV antibiotics, and consult ophthalmology emergently

Answer

Irrigate vigorously with 2 L saline

Answer

Patch the eye with firm pressure

Answer

Check intraocular pressure with tonometry

Answer

Remove the foreign body at bedside

Ruptured globe — ABEM Board MCQ

A 33-year-old man arrives after metal grinding without eye protection. Triage acuity is ESI 2; BP 130/78 mm Hg, HR 86/min. He has severe eye pain, decreased vision, irregular pupil, and a peaked cornea. There is no proptosis. Which of the following is the most appropriate next step in management?