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Conjunctival Foreign Body
- Symptoms: ocular irritation, pain, foreign body sensation, tearing or red eye.
- Work up:
- Careful examination of the entire eye is mandatory to rule out intraocular foreign bodies including a thorough slit lamp and dilated retinal examination.
- B-scan ultrasonography, X-ray film or CT-scanning is sometimes indicated to rule out intraocular foreign body.
- MRI is contraindicated, since intraocular foreign body may be metallic.
- Multiple small fragments or debris can be removed with saline irrigation.
- Localized / embedded foreign body can be removed under topical anesthesia at the slit lamp using cotton-tiped applicator or forceps.
- Short course of topical antibiotic after foreign body removal may be given to prevent secondary infection.