W. Va. Code R. § 85-20-26

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 85-20-26 - Treatment Guidelines: Corneal Foreign Body

26.1. Corneal foreign body generally occurs when striking stone; hot metal may perforate the cornea and enter the eye. Contaminated foreign bodies pose a risk for corneal ulcers or systemic toxicological effect.

26.2. The diagnostic criteria consists of pain which occurs either immediately after the injury or within the first twenty-four hours, accompanied by a sensation of something in the eye, and photophobia. The pain is aggravated by blinking or moving the eye. Vision may be affected if the foreign body is in the visual axis.

26.3. The appropriate diagnostic tests and examinations consist of a comprehensive examination, including determination of visual acuity, a slit lamp examination and dilated fundus examination when indicated to rule out intraocular foreign bodies. An orbital x-ray or CT scan may be indicated if there is a suspicion of ocular or orbital penetration.

26.4. Treatment is administered on an outpatient basis and consists of the following:

a. Removal of embedded foreign body;

b. Topical antibiotics, cycloplegics, and pressure patch;

c. Analgesics for the first several days;

d. Daily visits until the cornea is healed; and e. If a scar remains in the visual axis, corrective lenses or surgery may be required to attain optimal vision.

26.5. In uncomplicated cases the injured worker is expected to return to full work within one to two days.

26.6. Full recovery is expected unless the foreign body leaves a significant scar in the visual axis, in which case decreased visual acuity may be permanent.

W. Va. Code R. § 85-20-26