From the Guidelines
If a broken contact lens gets stuck in the eye, the person should remove the contact lens, discontinue contact lens use, and seek medical attention. According to the 2024 American Heart Association and American Red Cross guidelines for first aid 1, it is recommended that a person who develops a foreign-body sensation in the eye associated with contact lens use should remove the contact lens and seek medical attention.
When attempting to remove the stuck contact lens, it is essential to avoid rubbing the eye, as this can cause further irritation or damage 1. Instead, the person can try to flush the eye with tap water or a commercial eye wash solution to help dislodge the lens fragment 1.
Some key considerations for removal include:
- Locating the lens fragment by looking in a mirror or having someone help
- Trying to slide the piece to the white part of the eye using gentle blinking or a clean fingertip
- Carefully pinching the fragment between the thumb and forefinger to remove it
- Flushing the eye with preservative-free saline solution or clean water if the lens remains stuck
It is also crucial to prioritize the person's comfort and safety by:
- Taping a hard plastic eye shield, paper cup, or plastic cup over the eye to prevent unintentional touching 1
- Considering over-the-counter oral acetaminophen or NSAIDs to treat residual discomfort after ocular foreign-body removal 1
Ultimately, if the lens remains stuck, causes severe pain, affects vision, or if the eye becomes increasingly red or irritated, seeking immediate medical attention from an eye care professional is essential to prevent potential complications such as corneal scratches or infection.
From the Research
Removing a Stuck Broken Contact Lens from the Eye
If a broken contact lens gets stuck in the eye, it is essential to handle the situation carefully to avoid causing further damage. Here are some steps to consider:
- Remain calm and still, as sudden movements can cause the lens to move further into the eye or scratch the cornea.
- Try to flush the eye with saline solution or artificial tears to help loosen the lens.
- If the lens is partially out, attempt to gently remove it with a clean finger or a damp cloth.
- If the lens is stuck and cannot be removed, seek medical attention immediately.
Medical Treatment for Corneal Abrasions
In cases where a broken contact lens causes a corneal abrasion, medical treatment may be necessary. Some studies suggest the following:
- Topical nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation 2, 3.
- Antibiotic prophylaxis may be used to prevent infection, but the current evidence is insufficient to support its effectiveness 4.
- Topical anesthetics can be used for short-term pain relief, but their use should be limited and carefully monitored 5.
- Eye patching is not recommended, as it does not reduce pain and may increase the risk of complications 2, 6.
Important Considerations
When dealing with a stuck broken contact lens or corneal abrasion, it is crucial to:
- Seek medical attention if the lens cannot be removed or if symptoms persist or worsen.
- Follow proper hygiene and cleaning procedures to prevent infection.
- Use topical medications only as directed by a medical professional.
- Avoid rubbing or touching the affected eye, as this can cause further irritation and damage.