CTAS 2: A 31-year-old splashes drain cleaner into one eye at work. Vitals are stable. The eye is painful with blepharospasm and reduced visual

Question

CTAS 2: A 31-year-old splashes drain cleaner into one eye at work. Vitals are stable. The eye is painful with blepharospasm and reduced visual acuity. The pH strip reads 11. The patient has not removed contact lenses. What is the most appropriate next step?

Accepted Answer

Begin immediate copious irrigation and remove contact lenses

Answer

Apply topical steroid then arrange clinic review

Answer

Check visual acuity before any irrigation

Answer

Patch the eye and discharge with analgesia

Answer

Wait for ophthalmology before irrigation

Chemical ocular burn — RCPSC EM MCQ

CTAS 2: A 31-year-old splashes drain cleaner into one eye at work. Vitals are stable. The eye is painful with blepharospasm and reduced visual acuity. The pH strip reads 11. The patient has not removed contact lenses. What is the most appropriate next step?