Bleach in my eye

Bleach in my eye

Bleach in my eye

Bleach in my eye Bleach in my eye

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Question 1 of 3

1. Question
What is the immediate management?
- Check visual acuity to assess degree of damage
- Refer to Ophthalmology for further advice
- Irrigate the eye
- Give analgesia and conduct slit lamp examination
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Question 2 of 3

2. Question
You irrigate the eye with 1L of 0.9% saline. What are the next steps in the management?
- Immediately check the pH of the ocular surface. Continue irrigating until pH of 7.0-7.5is reached.
- Wait at least 5 minutes and check the pH of the ocular surface. Continue irrigating the eye, up to a maximum of 5 litres.
- Wait at least 5 minutes and check the pH of the ocular surface. Continue irrigating the eye until pH of 7.0-7.5is reached.
- Immediately check the pH of the ocular surface. Continue irrigating the eye, up to a maximum of 5 litres.
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Question 3 of 3

3. Question
The pH becomes neutral after 4 litres of irrigation. Select the next steps in the management. (Select any that apply)
- Check the degree of conjunctival, corneal and limbal involvement with slit lamp and fluorescein.
- Discussion and referral to Ophthalmology
- Recheck the pH 20 minutes after last irrigation
- Chloramphenicol ointment 1% for 5 days
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