Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Time-critical threats
Open globe concern
Rigid eye shield
Avoid pressure patch
Intraocular foreign body concern
Emergent ophthalmology
CT orbits without contrast
Chemical exposure concern
Irrigation before full exam
pH normalization target
Severe vision loss
Emergent ophthalmology
Treat as globe-threatening until proven otherwise
Analgesia and antiemesis
Pain control to permit exam
Oral acetaminophen
Oral NSAID if appropriate
If nausea or vomiting
Antiemetic to reduce Valsalva
Escalate if repeated emesis
Eye protection and precautions
If open globe suspected
Stop exam after key findings
NPO status
If contact lens in place
Immediate removal
Pseudomonas coverage planning
Early consultation triggers
Ophthalmology now triggers
Positive Seidel test
Embedded or penetrating foreign body
Hyphema
Irregular or peaked pupil
Markedly decreased visual acuity
Suspected intraocular foreign body mechanism
Unable to complete exam due to pain or agitation
Key concepts
Foreign body categories
Superficial conjunctival foreign body
Often irrigation-responsive
Low risk if no corneal involvement
Corneal foreign body
Abrasion and infection risk
Metallic rust ring risk
Intraocular foreign body
Open globe until proven otherwise
Endophthalmitis risk
Orbital foreign body
Associated ocular injury risk
Sinus or intracranial extension risk
High-risk mechanisms
High-velocity metal on metal
Grinding
Hammering
Explosive or blast mechanism
Multiple fragments possible
Organic contamination possible
Vegetative material exposure
Fungal keratitis risk
Deeper infection risk
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.