How to deal with eyelid injury? When our bodies are injured, we need timely treatment. Correct first aid measures can protect the windows of our hearts, but wrong first aid methods will only aggravate the injury. So how to deal with eyelid injury?
How to deal with eyelid injury 1 If the eyelid is broken, disinfection, debridement and suture can be carried out according to the degree of injury. It is recommended that you treat yourself according to the injury, go to the hospital if necessary, and treat under the guidance of a doctor to avoid self-treatment and secondary infection caused by improper treatment.
1. Disinfection and debridement: For those whose eyelids are broken due to simple epidermal abrasion, normal saline can be used for washing, then povidone iodine solution is applied for disinfection, and sterile gauze piece is used for pressing until no bleeding occurs. Sterile gauze or band-aid can be used externally to prevent external infection.
If the wound is deep and below the dermis, it needs to be debrided and covered with sterile gauze in addition to disinfection. During debridement, it is necessary to soak with hydrogen peroxide and then rinse with normal saline to clean up the foreign body in the wound and avoid foreign body residue and anaerobic infection.
2. Suture: If the wound is large, obvious cracks and deep tissues can be seen. In addition to cleaning the wound, you need to see a doctor for suture to promote wound healing and reduce scar formation. If the swelling degree and valgus degree of the wound site are low, the wound skin is in good condition and there is no dislocation, the wound can be cleaned without suture;
3. Other treatment: If the local skin defect of eyelid is serious, in addition to cleaning, the wound should be trimmed with sterile instruments and the damaged skin tissue around the wound should be cleaned. If necessary, skin flap or even skin graft may be needed to ensure the smooth healing of the wound.
In addition, special attention should be paid to deep and heavily polluted wounds, and it is recommended to inject tetanus antitoxin after cleaning to prevent tetanus infection.
How to deal with eyelid injury? 2. How to treat eye trauma first aid?
corneal foreign body
Dust, sand, small insects, metal fragments and sawdust enter the eyes, showing obvious typical symptoms such as foreign body sensation, tingling, photophobia and tears.
Handle correctly:
Do not rub your eyes with your hands. Close your eyes quietly first, and blink a few times when there are many tears or after dropping eye drops. Foreign objects may be washed out of your eyes by tears or eye drops. If the symptoms do not disappear, send them to the hospital ophthalmology department to take out the foreign body.
Error handling:
1, rubbing eyes hard because of pain, trying to rub out foreign bodies, but aggravating corneal damage;
2, blowing your eyes with your mouth, not only can't blow out foreign bodies, but it will aggravate the infection;
3. Use unclean paper towels, handkerchiefs, etc. Wiping off foreign bodies on the cornea may aggravate corneal injury, lead to deepening infection and even develop into suppurative corneal ulcer;
4. Delaying medical treatment, resulting in corneal rust or infection.
Chemical burn of eye
Eyes are burned by chemical liquids such as acid and alkali.
Handle correctly:
Rinse eyes with clean water (preferably with an eye-washing faucet). Open your eyelids with your fingers and rinse for at least 10- 15 minutes. At the same time, repeatedly open and close the injured eyes and turn the eyeballs as much as possible. Dilute the diluted chemical concentration and send it to the hospital immediately after cleaning.
Error handling:
Don't wash it right away, just wait for the ambulance, or go directly to the hospital and wait for the doctor to handle it. Causing the eyes to be burned by chemicals, causing irreparable consequences.
Periocular soft tissue contusion
Mostly blunt impact around the orbit, soft tissue swelling without breach, but subcutaneous congestion and bruising, known as contusion.
Handle correctly:
Immediately use an ice pack or cold towel for local cold compress, and after 24 hours, it can be changed to hot compress to promote the absorption of local blood stasis.
Error handling:
Massage the wound immediately after injury or aggravate the subcutaneous hematoma with hot compress.
Periocular soft tissue laceration
It's just that the skin outside the eye is broken and the eyeball is not damaged.
Handle correctly:
Be sure to keep the wound clean, only use clean dressing, and send it to the hospital for debridement and suture as soon as possible to reduce the chance of falling off a large area of scar in the future.
Error handling:
Wipe the wound with dirty hands or dirty cloth; Casual use of hemostatic drugs, anti-inflammatory drugs or toothpaste will affect the doctor's treatment of wounds. Some people even use incense ashes and pot bottom ashes to stop bleeding, which will aggravate infection and even lead to tetanus.
Eyeball contusion
Eyeball is hit by blunt instrument, which damages eyelid, conjunctiva, sclera, cornea, lens, retina, optic nerve, or orbital fracture. Generally, they have abnormal vision.
Handle correctly:
Cover your eyes gently with clean gauze or handkerchief and go to the hospital for treatment in time.
Error handling:
Some ocular contusions do not show abnormalities, which easily delay diagnosis and treatment, affect future vision and visual field lesions, and even cause traumatic glaucoma, macular hemorrhage and other diseases, which have the greatest impact on vision. It is important to see a doctor in time.
Traumatic eyeball rupture
Most sharps pierce or scratch the eyeball, resulting in eyeball rupture. The wounded man felt a "teardrop" gushing out, and then he couldn't see clearly in pain.
Handle correctly:
Do not wash injured eyes with water or apply any medicine. Just cover the injured eye with a clean dressing and gently bandage it. No pressure is allowed. The purpose of dressing is only to limit the damage caused by eye movement and friction, and reduce the stimulation of light on injured eyes. All eye injuries need to be bandaged with both eyes and then rushed to the hospital for emergency treatment.
Error handling:
1, washed on the spot, causing eye contents to flow out or aggravating pollution;
2. The pressure of dressing is too high, and a large number of intraocular tissues are separated from the wound, which aggravates the damage to the eyes.
How to deal with eyelid injury? Hema Ophthalmology found that many patients did not understand the correct treatment of ocular trauma, leading to aggravated injury or infection, resulting in irreparable visual loss.
In order to reduce this kind of thing, the following Hema Ophthalmology will briefly introduce the correct first aid methods for common eye injuries.
1, eyes accidentally touched ball games, fists, bruises, bruises and bleeding on the face;
Treatment: cold compress after eye contusion, 3 ~ 4 times a day; Start hot compress 48 hours after the bleeding stops, 3 ~ 4 times a day, each time 15 minutes.
Note that the transmission of blunt force in eyeball and ball wall will also cause many indirect injuries, such as intraocular bleeding, orbital fracture, corneal and scleral rupture, retinal detachment and so on. If you find eye bleeding, or the pain is not relieved after taking the above measures, and your vision is declining, you should go to the hospital for a comprehensive examination in time.
Common mistake: Hot compress immediately. If it is common eyelid congestion or bleeding, it must not be rubbed or hot compress after injury, so as not to aggravate subcutaneous hematoma.
2, when the eyes encounter firecrackers, scissors, glass, stones and other foreign bodies directly into or through the eyeball, resulting in eyeball rupture:
Treatment: Cover your eyes with clean gauze or a handkerchief of appropriate size. No pressure, send to a professional hospital for emergency treatment. Try to avoid bumping and bowing on the way to prevent the contents of the eye from further escaping.
Common mistakes: washing injured eyes with water, forcibly pulling out foreign bodies or returning eye contents to the orbit will aggravate the injury or cause infection.
3. Such as sodium hydroxide, quicklime, ammonia, sulfuric acid, hydrochloric acid, etc. Accidentally come into view:
Treatment: race against time to wash your eyes on the spot and rinse them repeatedly with plenty of water. When washing, open your eyelids and turn your eyes. You can also soak the wounded's head in a basin, repeatedly open your eyes and close your eyes, and wash the foreign body. After washing, send it to the hospital for treatment in time.
Common mistakes: cover your eyes and rub them with your hands.
In addition, Xima Ophthalmology reminds that eye injuries should not be underestimated. When encountering eye trauma, in addition to the correct initial treatment in time, we should also go to a qualified eye hospital for comprehensive examination and regular treatment in time. In addition, attention should be paid to preventing eye injuries in work and life, strengthening health education for children and keeping children away from dangerous goods.