Treatment for Foreign Body Sensation in the Eye
Initial Management
- The American Heart Association recommends not rubbing the eye, as it can cause further damage by embedding the foreign body deeper or causing corneal abrasion 1, 3
- Allowing natural tears to wash out the object or irrigating with tap water/commercial eye wash solution is recommended for low-energy foreign bodies 2, 4
- Taping a hard plastic eye shield, paper cup, or plastic cup over the eye can prevent unintentional touching or rubbing 1, 5
- Over-the-counter oral acetaminophen or NSAIDs can be taken to treat residual discomfort after foreign body removal 1, 2
When to Seek Medical Attention
- Contact lens-related foreign body sensation requires immediate medical attention, including removal of the contact lens and discontinuation of use 1, 5
- High-velocity eye injuries, such as those from grinding or nailing, require immediate medical attention 1
- Penetrating eye injury from a sharp or metal object requires immediate medical attention 1
- Irregular pupil, eye bleeding, or vision loss after trauma requires immediate medical attention 1, 3
- Persistent foreign body sensation despite home treatment requires medical evaluation 1, 2
Causes of Foreign Body Sensation
- Loose foreign bodies, such as eyelashes or dust, can cause foreign body sensation 1, 3
- Chemical injury can cause foreign body sensation 1, 3
- Ultraviolet radiation exposure can cause foreign body sensation 1, 3
- Eye inflammation or infection can cause foreign body sensation 1, 3
Treatment Approach Based on Mechanism
- For low-energy foreign bodies, do not rub the eye, allow natural tears to wash out the object, shield the eye, and take OTC pain medication if needed 1, 3, 4, 5
- For high-energy or embedded foreign bodies, seek immediate medical attention 1