Object impaled in or around the eye: what is recommended?

• A. Lie on back & keep still; Stabilize object w/ dressings; Cover both eyes w/ gauze
• B. Remove the object immediately with fingers
• C. Apply eye drops
• D. Massage the temple area around the eye

Answer: (A)

When an object is impaled in or around the eye, the priority is to prevent movement and further injury. Keeping the person still and the eye from moving reduces the chance that the object will penetrate deeper or cause more bleeding. Stabilizing the object with bulky dressings cushions it and stops it from shifting, while covering both eyes reduces stimulation and keeps eyelids from moving, which helps minimize pain and protects the injured eye from light and contamination.

Removing the object with fingers is risky because it can worsen bleeding or tissue damage and may cause the object to move unpredictably. Eye drops don’t address the injury and can introduce contamination. Massaging the temple or nearby area could provoke more movement and harm. If possible, seek emergency care promptly after stabilizing the eye as described.