Foreign Body in Eye

Up to 3 drops of the 0.4% solution into the conjunctival sac, each one to two minutes apart. Anaesthesia starts within a minute and lasts 10 to 20 minutes. - One application at the time of the examination, and no more

The same instillation in a child - a surface anaesthetic has no weight-based dose. The vial is single use and is discarded afterwards. A protective shield rather than a patch is sensible in a small child, because rubbing the anaesthetised eye is what does the damage.

MSF Essential Drugs 2024 (oxybuprocaine eye drops monograph) - removal of foreign bodies is a named indication, dosed as up to 3 drops of the 0.4% single-use solution into the conjunctival sac, one to two minutes apart. Egypt registers the same molecule under its other international name, benoxinate: BENOX, BOXINATE, SELECTOCAINE and BENOXIDIA, all 0.4%.

The corneal foreign body article puts removal under topical anaesthesia and says a topical anaesthetic should be given for pain relief during the examination. MSF carries foreign-body removal as a named indication for the same drug and states the number of drops, so the use and the amount both come from documents that were opened.

1 to 2 drops of the 0.3% solution into the affected eye every 2 to 4 hours for the first 2 days, then 4 times daily x 5 to 7 days, and never more than 10

The label gives one dose for all ages: 1 to 2 drops every 2 to 4 hours for the first two days, then four times daily. Safety and effectiveness below one year of age are not established, and the label says data are very limited in neonates.

Exocin 3 mg/ml Eye Drops (ofloxacin 0.3%) SmPC section 4.2 (eMC product 1353) - one to two drops every two to four hours for the first two days, then four times daily, at all ages, with the course not to exceed ten days.

The corneal foreign body article calls for prophylactic broad-spectrum antibiotics such as fluoroquinolones after removal, reports that 90% of bacteria cultured from these injuries were sensitive to fluoroquinolone drops, and asks specifically for anti-pseudomonal cover in a contact lens wearer, which ofloxacin gives. Eight 0.3% ophthalmic products are marketed in Egypt.

A foreign object - commonly sand or dust in Cairo - on the surface of the eye; a GP can attempt simple removal and prescribe antibiotic drops afterward, referring if the object is embedded, metallic, or globe penetration is suspected. - Refer, with advice

The drug rows above are instilled, not dosed by weight. The referral threshold and the safety-netting are the same at any age.

No dose - referral pathway, no medicine given in primary care

A foreign object - commonly sand or dust in Cairo - on the surface of the eye; a GP can attempt simple removal and prescribe antibiotic drops afterward, referring if the object is embedded, metallic, or globe penetration is suspected.

1 or 2 drops into the affected eye as needed - Until the surface has healed, usually a few days

1 or 2 drops as needed, the same as an adult - a surface lubricant has no weight-based dose.

Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed.

The article's post-removal care is a prophylactic antibiotic, a cycloplegic for ciliary spasm and a lubricant, and it recommends lubricating drops or ointment to promote epithelial healing and ease discomfort. Four hypromellose products are marketed in Egypt.