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Chemical eye injury — DipIMC MCQ

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HardTraumaChemical eye injuryDipIMC

After ten minutes of irrigation for an alkali eye splash, the patient still has severe pain and the ocular surface pH remains markedly alkaline. What is the most appropriate immediate action?

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Correct answer: CContinue copious irrigation while arranging urgent ophthalmic care

The best answer is “Continue copious irrigation while arranging urgent ophthalmic care”. Chemical ocular injury is time dependent. Persistent alkalinity means decontamination is incomplete, so copious irrigation must continue while particulate matter is sought and urgent specialist assessment is arranged. Irrigation takes priority over a full examination or visual-acuity testing. Chemical neutralisation can generate heat and should not replace water or appropriate irrigating solution.

Reference: College of Optometrists, Chemical ocular trauma: https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines/trauma_chemical