Wipe the eyelid and its surrounding skin first, and clean your eyes with a cotton swab of normal saline, but don't rinse. If pollution is suspected, wipe it with 1∶5000 mercuric chloride solution or mercuric cyanide solution. After various examinations, the wound was properly sealed, antibiotics were injected under the conjunctiva, antibiotic eye drops were dropped into the conjunctival sac, and the wound was covered with gauze. If the wound is large and deep, and the wound is exposed for a long time, it is necessary to inject antibiotics into the eyeball, apply antibiotics all over the body, and inject tetanus antitoxin or bacteroid.

Suture a wound

Properly handle the wound, prevent secondary infection and prolapse of eye contents, stop bleeding, restore intraocular pressure and maintain the normal position of various tissues and structures.

Prevent bleeding

When the injury involves the uvea and retina, attention should be paid to prevent bleeding. All kinds of hemostatic agents in western medicine and Chinese medicine can be used to stop bleeding. Patients lying still, wounds or eyes, deepen eye protection, avoid shaking and pressing eyes. Vitrectomy is feasible for patients with excessive bleeding and slow absorption.

4. Prevent inflammatory reaction

Serious penetrating injury, especially the injury of uvea, should pay attention to prevent inflammatory reaction, adopt mydriasis, local and systemic application of corticosteroids, or oral non-steroidal anti-inflammatory drugs such as sodium salicylate, aspirin or indomethacin, as well as traditional Chinese medicine for clearing heat and expelling wind.

5. Early vitrectomy

Severe penetrating eyeball injury should be treated and sealed at the first time, and vitrectomy should be performed immediately if necessary. In the early stage of suppurative endophthalmitis or panophthalmia, vitrectomy combined with intraocular injection of antibiotics has a good therapeutic effect.

6. Treatment of penetrating injury of eyeball

Penetrating injury of eyeball, that is, double penetrating injury of eyeball or secondary perforation injury. While dealing with the front wound, we should also deal with the back wound. If the posterior wound is small and needs to be sutured, it can be heated through the vitreous body to coagulate the retina and choroid around the wound. If the posterior wound is large, or there is obvious retinal detachment, the scleral wound should be sutured for scleral diathermy or condensation or scleral pad pressure. Vitrectomy should be performed early in penetrating injury of eyeball.

7. Treatment of explosion injury

In addition to eye injuries, explosive injuries should also pay attention to the treatment of brain, organs and limbs injuries, so as to save lives first. Most explosive injuries are eyes, multiple wounds, or multiple foreign bodies. Special attention should be paid to prevent infection during treatment. According to the position and degree of injury, the treatment shall be carried out with reference to the above methods.

8. Treatment of suppurative endophthalmitis

Vitrectomy should be performed as soon as possible.