Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies

Abstract This prospective study aimed at determine whether eye irrigation removes ocular foreign bodies (FBs) and whether ocular pain predicts FBs. Emergency department patients complaining of ocular FBs were enrolled. In the irrigation group (n = 52), pain was evaluated with a visual analog scale b...

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Autores principales:	Hung-Da Chou, Kuan-Jen Chen, Eugene Yu-Chuan Kang, Jui-Yen Lin, Po-Han Yeh, Yen-Ting Chen, Chi-Tung Cheng, Chi-Chun Lai, Wei-Chi Wu, Yih-Shiou Hwang, Ching-Hsi Hsiao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cf80a90b3cde4687a00dab51ea13f497
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spelling	oai:doaj.org-article:cf80a90b3cde4687a00dab51ea13f4972021-12-05T12:15:35ZEye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies10.1038/s41598-021-02989-32045-2322https://doaj.org/article/cf80a90b3cde4687a00dab51ea13f4972021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02989-3https://doaj.org/toc/2045-2322Abstract This prospective study aimed at determine whether eye irrigation removes ocular foreign bodies (FBs) and whether ocular pain predicts FBs. Emergency department patients complaining of ocular FBs were enrolled. In the irrigation group (n = 52), pain was evaluated with a visual analog scale before and after irrigation, and the presence of FBs was determined under a slit-lamp. In the nonirrigation group (n = 27), the evaluations were performed upon arrival. The corneal FB retention rate was found significantly lower in the irrigation (13/52, 25%) than in the nonirrigation groups (13/27, 48%; P = 0.04). After irrigation, those without FBs had more patients experiencing pain reduction (67%) compared to those with retained FBs (46%; P = 0.14) and had a greater magnitude of change in pain score (mean ± SD, − 2.6 ± 2.7 vs. − 0.7 ± 1.4; P = 0.02). An improvement in ocular pain score ≥ 5 points after irrigation predicted the absence of FBs with a negative predictive value of 100%. Eye irrigation significantly lowered corneal FB retention; if ocular pain decreased considerably, the probability of retained FBs was low, making irrigation-associated pain score reduction a feasible diagnostic method to exclude FB retention without needing specialized ophthalmic examinations.Hung-Da ChouKuan-Jen ChenEugene Yu-Chuan KangJui-Yen LinPo-Han YehYen-Ting ChenChi-Tung ChengChi-Chun LaiWei-Chi WuYih-Shiou HwangChing-Hsi HsiaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hung-Da Chou Kuan-Jen Chen Eugene Yu-Chuan Kang Jui-Yen Lin Po-Han Yeh Yen-Ting Chen Chi-Tung Cheng Chi-Chun Lai Wei-Chi Wu Yih-Shiou Hwang Ching-Hsi Hsiao Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
description	Abstract This prospective study aimed at determine whether eye irrigation removes ocular foreign bodies (FBs) and whether ocular pain predicts FBs. Emergency department patients complaining of ocular FBs were enrolled. In the irrigation group (n = 52), pain was evaluated with a visual analog scale before and after irrigation, and the presence of FBs was determined under a slit-lamp. In the nonirrigation group (n = 27), the evaluations were performed upon arrival. The corneal FB retention rate was found significantly lower in the irrigation (13/52, 25%) than in the nonirrigation groups (13/27, 48%; P = 0.04). After irrigation, those without FBs had more patients experiencing pain reduction (67%) compared to those with retained FBs (46%; P = 0.14) and had a greater magnitude of change in pain score (mean ± SD, − 2.6 ± 2.7 vs. − 0.7 ± 1.4; P = 0.02). An improvement in ocular pain score ≥ 5 points after irrigation predicted the absence of FBs with a negative predictive value of 100%. Eye irrigation significantly lowered corneal FB retention; if ocular pain decreased considerably, the probability of retained FBs was low, making irrigation-associated pain score reduction a feasible diagnostic method to exclude FB retention without needing specialized ophthalmic examinations.
format	article
author	Hung-Da Chou Kuan-Jen Chen Eugene Yu-Chuan Kang Jui-Yen Lin Po-Han Yeh Yen-Ting Chen Chi-Tung Cheng Chi-Chun Lai Wei-Chi Wu Yih-Shiou Hwang Ching-Hsi Hsiao
author_facet	Hung-Da Chou Kuan-Jen Chen Eugene Yu-Chuan Kang Jui-Yen Lin Po-Han Yeh Yen-Ting Chen Chi-Tung Cheng Chi-Chun Lai Wei-Chi Wu Yih-Shiou Hwang Ching-Hsi Hsiao
author_sort	Hung-Da Chou
title	Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
title_short	Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
title_full	Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
title_fullStr	Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
title_full_unstemmed	Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
title_sort	eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/cf80a90b3cde4687a00dab51ea13f497
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Eye irrigation as a first-line treatment and diagnostic method for emergency department patients who complain of ocular foreign bodies

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