● Immediate medical evaluation and treatment. Follow-up Actions ● Educate regarding care of eye at home. ● Discuss importance of eye protection. ● Treat as specified by medical order. ● Counsel regarding return to work and limited duty as indicated. ● Conduct worksite assessment to identify potential hazards and pre- vention strategies. Determine extent and severity of injury. Provide symptom relief prior to transport. Prevent infection. ● Gently inspect lids and eye to assess extent of laceration. ● Obtain history of injury. ● Check eye for contact lens and remove it, if possible. ● Obtain visual acuity if possible. ● Apply sterile dressing and cold compresses for 15-minute periods until transport is made. ● Save all tags of skin. Wrap in sterile saline gauze place in sterile, dry, plastic con- tainer and pack carefully in ice. ● Arrange immediate medical care. ● Review employee tetanus status (see Guideline 15, Tetanus Prophylaxis, page 40). 201 Eye Injury: Laceration of Eyelid 102 Definition Cut of eyelid, due to trauma to eye or surrounding area. Characteristics Bleeding from around the eye, edema, and blurred vision. Hyphema and orbital fractures also may be present. Eyelid wounds require prompt suturing to restore lid margin. Policy Evaluate employee in the occupational health unit and arrange for immediate medical care. Objectives Clinical Assessments and Interventions Referral for Medical Action Guideline continues on next page