Foreign Body in the Eye: Emergency Care and Removal
- The Straits Eye Centre
- Sep 20
- 4 min read
Introduction: Why a Foreign Body in the Eye Is an Emergency
The eye is highly sensitive, and even a tiny speck of dust can cause discomfort. But when a foreign body, such as metal, wood, glass, or chemicals, enters the eye, the risk goes beyond irritation. These injuries can lead to infection, scarring, or permanent vision loss if not managed promptly.
In Singapore, foreign body injuries are a common cause of emergency eye clinic visits. Knowing the right steps to take immediately can make all the difference in protecting your sight.
What Is a Foreign Body in the Eye?
A foreign body is any object or material that becomes lodged on the surface of the eye or penetrates deeper into its structures.
Types include:
Superficial foreign bodies: dust, eyelashes, sand, contact lens debris.
Embedded or penetrating foreign bodies: glass, wood, or metal shavings.
Chemical exposure: cleaning agents, industrial chemicals, or cement particles.
Causes and Risk Factors
Workplace injuries in construction, manufacturing, or welding.
Household accidents while cooking, cleaning, or gardening.
Poor contact lens hygiene.
Outdoor activities in windy or dusty conditions.
Lack of protective eyewear during high-risk tasks.
Symptoms of a Foreign Body in the Eye
Sudden pain or discomfort.
Tearing and redness.
Foreign body sensation (feeling like something is in the eye).
Blurred vision or reduced clarity.
Light sensitivity.
In severe cases: bleeding, corneal scratches, or visible embedded material.
Complications if Left Untreated
Corneal abrasions or scarring.
Infection leading to corneal ulcers.
Vision loss from untreated deep injuries.
Chemical burns with permanent damage.
Emergency First Aid Steps
Do’s:
Rinse the eye with clean water or saline immediately.
Blink repeatedly to help flush out small particles.
Keep the eye closed and covered if the object is embedded.
Seek immediate medical care.
Don’ts:
Do not rub the eye.
Do not try to remove embedded objects with fingers or tools.
Do not delay if pain, vision changes, or bleeding occur.
Diagnosis
An eye specialist may use:
Slit-lamp examination to locate and assess the foreign body.
Fluorescein dye test to detect corneal scratches.
X-rays or CT scans if penetration is suspected.
Treatment Options
Superficial Foreign Bodies
Gentle removal using sterile equipment.
Lubricating drops to soothe irritation.
Embedded or Penetrating Injuries
Surgical removal in an operating theatre if deep.
Antibiotic eye drops to prevent infection.
Tetanus vaccination if required.
Chemical Burns
Immediate irrigation for at least 15–30 minutes.
Emergency evaluation to assess corneal damage.
Prevention Tips
Wear protective goggles during construction, welding, or sports.
Handle household chemicals carefully.
Maintain good contact lens hygiene.
Keep children supervised during high-risk activities.
Frequently Asked Questions
1. What should I do if I get something stuck in my eye?
Rinse your eye with clean water or saline. If discomfort persists, see an eye specialist immediately.
2. Can a foreign body fall out on its own?
Small particles may wash out naturally, but embedded or sharp objects require medical removal.
3. Is it safe to use cotton buds to remove something from my eye?
No. Attempting removal yourself can cause scratches or push the object deeper.
4. How do doctors remove a foreign body?
They may use a sterile swab, fine needle, or surgical procedure depending on the depth and type.
5. Can a foreign body cause permanent damage?
Yes, if untreated. Scarring, infection, or perforation can lead to permanent vision loss.
6. Are chemical eye injuries different from solid objects?
Yes. Chemicals cause burns and require immediate irrigation for at least 15 minutes before seeking urgent care
7. How fast should I see a doctor?
Immediately, especially if there is pain, vision loss, or an embedded object.
8. How can I prevent workplace-related foreign body injuries?
By wearing protective eyewear and following safety protocols.
Meet Our Specialists
At The Straits Eye Centre, your vision care is in the hands of a dedicated team of experienced ophthalmologists. Each of our doctors brings unique expertise and a shared commitment to delivering thorough, patient-focused care for all ages. Whether you need advanced cataract surgery, paediatric eye management, or treatment for complex eye conditions, our team works together to provide the same attentive care we would want for our own families.
Dr Jayant V Iyer
Senior Consultant & Medical Director
Special interest: Cataract, Glaucoma, General Ophthalmology With specialist training in Singapore and the UK, Dr Jayant V Iyer has served as Head of Department at Sengkang General Hospital and Senior Consultant at Tan Tock Seng Hospital. He is committed to delivering safe, precise surgical care with clear communication at every stage.
Dr Jason Lee
Senior Consultant & Medical Director
Special interest: Oculoplastics, General Ophthalmology, Myopia, Cataract, Diabetic Retinopathy Dr Jason Lee has extensive training in eyelid, orbital, and tear system surgery, with fellowships completed in Taiwan and China. Previously a Senior Consultant at Khoo Teck Puat Hospital, he co-founded The Vision Mission, a non-profit bringing sustainable eye care to communities in Asia.
Cost, Medisave, and Insurance
Many procedures at The Straits Eye Centre are eligible for Medisave claims under MOH guidelines, and certain insurance plans may cover part or all of your treatment costs. Our patient care team will guide you through eligibility, claim limits, and paperwork, so you can focus on your recovery. For more details, refer to our Medisave & Insurance Guide.
Secure Your Appointment at The Straits Eye Centre
at Parkway East Hospital
Your vision health deserves timely and professional attention. Book your appointment now at our Parkway East Hospital clinic and take the first step towards clearer, healthier sight.
