Eye - Foreign Object

When To Call

Go to ER Now

• Sharp object in the eye
• Object is a piece of chemical
• Object hit eye at high speed. Examples are a metal chip from hammering, lawnmower, or explosion.
• Object is stuck on the eyeball. Caution: do not try to remove it.
• Tearing or blinking do not stop after washing the eye
• You can't get the object out

Call Doctor or Seek Care Now

• You think your child has a serious injury
• Child refuses to open eye
• Child feels like object still there after eye has been washed out
• Vision not back to normal after eye has been washed out
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• Yellow or green pus occurs
• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• You have other questions or concerns

Self Care at Home

• Minor object or small particles in the eye (such as an eyelash or dirt). Reason: most likely can be removed at home.

Care Advice

What You Should Know about an Object or Small Particles in the Eye:

• The object (or particles) will always stay in the front part of the eye.
• Some parents worry that it can get lost behind the eyeball.
• This will not happen. The space beyond the eyelids goes back ¼ inch (6 mm) and then stops. In other words, it's a dead end.
• Here is some care advice that should help.

Lots of Particles (such as Dirt or Sand) - Treatment:

• Clean around the eye and face with a wet washcloth first. Reason: so more particles won't get in.
• Put that side of the face in a pan of warm water. Have your child try to open and close the eye while in the water. Do it several times.
• For younger children, fill a glass or pitcher with warm tap water. Pour the water into the eye while holding your child face up. The eyelids must be held open during the rinsing. This process often needs the help of another person.

Particle in a Corner of the Eye - Treatment:

• Try to get it out.
• Use a moistened cotton swab or the corner of a moistened cloth.

Particle Under the Lower Lid - Treatment:

• Pull the lower lid out by pulling down on the skin above the cheekbone.
• Touch the particle with a moistened cotton swab.
• If that doesn't work, try pouring water on the particle. Do this while holding the lid out.

Particle Under the Upper Lid - Treatment:

• If the particle can't be seen, it's probably under the upper lid. This is the most common hiding place.
• Try having your child open and close the eye several times while it is submerged in a pan or bowl of water.  If you have an eye cup, use it.
• If this fails, pull the upper lid out. Then, draw it over the lower lid while the eye is closed. When the eye is opened, the particle may come out. The lower lid may sweep the particle out from under the upper lid.

Contact Lenses:

• Children who wear contact lenses need to switch to glasses for a while.
• Reason: to prevent damage to the cornea.

What to Expect:

• The pain, redness and tearing usually pass after the object is removed.
• It may take 1 to 2 hours for these symptoms to fully go away.

Call Your Doctor If:

• You can't get the object or particles out
• Feels like object is still there 2 hours after taken out
• Tearing and blinking do not stop after you take out the object
• Vision is not normal after the eye has been washed out
• You think your child needs to be seen
• Your child becomes worse

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Photos

Eye Anatomy

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Source: Self Care Decisions, LLC 2023
Self Care Decisions, LLC 2023

FIRST AID Advice - Foreign Object Under Upper Lid

• If particle cannot be seen, it's probably under the upper lid, the most common hiding place.
• Try to open and close the eye several times while it is submerged in a pan or bowl of water.
• If this fails, pull the upper lid out and draw it over the lower lid. This action, and your tears, will sometimes dislodge the particle.

Source: Self Care Decisions, LLC
Used with Permission from Schmitt Pediatric Guidelines LLC.

FIRST AID Advice - a Foreign Object in a Corner of the Eye

• Try to get the particle out with a moistened cotton swab or the corner of a moistened cloth.
• If this does not work, then place the face under a gently running faucet or a shower. Hold the eyelids open while you do this. This should flush the particle out.

Source: Self Care Decisions, LLC
Used with Permission from Schmitt Pediatric Guidelines LLC.

FIRST AID Advice - Many Particles (such as dirt or sand) in Eye

• Clean around the eye with a wet washcloth first.
• Place the face under a gently running faucet or a shower. Hold the eyelid open while you do this.
• Or, try to open and close the eye repeatedly while holding that side of the face under water in a pan or bowl (of water).

Source: Self Care Decisions, LLC
Used with Permission from Schmitt Pediatric Guidelines LLC.

FIRST AID Advice - a Foreign Object Under the Lower Eyelid

• Pull the lower eyelid out by gently pulling down the skin above the cheekbone.
• Touch the particle with a moistened cotton swab.
• If that does not work, try pouring water on the speck while pulling the lower eyelid out.

Source: Self Care Decisions, LLC
Used with Permission from Schmitt Pediatric Guidelines LLC.