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foreign Emergency Physician Dr Jess Mason here with a patient with a Fleck of metal embedded in his cornea from grinding first letamp;#39;s treat His Pain by placing an anesthetic drop in his eye retract the inferior lid and place the drop in the inferior fornix as the patient blinks the anesthetic is distributed use a cotton tipped applicator to invert the upper lid to check for a retained foreign body the upper lid will invert around the tarsal plate when you apply pressure to the superior aspect while gently pulling the lid upwards just like we used to do in grade school to impress our friends use a fluorescein stain with cobalt blue light to look for corneal injury especially signs of globe rupture such as a Seidel sign which is that waterfall oozing of liquid from the point of injury before removing the foreign body I recommend placing an eyelid retractor if you have one compress it closed and gently slide it under each of the eyelids for each attempt the magnification of the sli
