What is the recommended irrigating solution for a Morgan lens?

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From the Research

Recommended Irrigating Solution for a Morgan Lens

  • The recommended irrigating solution for a Morgan lens is lactated Ringer's solution, as it has been found to be the most tolerated when administered with the Morgan Therapeutic Lens (MTL) 1.
  • A study comparing lactated Ringer's solution and balanced salt solution (BSS Plus) for ocular irrigation with and without the MTL found that lactated Ringer's solution had significantly lower discomfort scores when used with the MTL 1.
  • Other irrigation fluids, such as normal saline and BSS Plus, have also been found to be effective for ocular irrigation, but lactated Ringer's solution is recommended for maximal patient comfort when using the MTL 1, 2.

Comparison of Irrigation Fluids

  • A systematic review of methods of eye irrigation for adults and children with ocular chemical burns found that patients who underwent irrigation with tap water immediately following alkali burns had significantly better clinical and ocular outcomes 2.
  • The review also found that in hospital settings, more patients preferred balanced saline solution (BSS) plus than other irrigation fluids, and that irrigation with diphoterine resulted in better ocular outcomes following grade 1 and 2 ocular burns 2.
  • Another study found that HsS (elastoviscous hylan surgical shield, 0.45%) was more effective than a balanced salt solution in maintaining corneal moisture, clarity, and transparency during cataract surgery 3.

Importance of Prompt Irrigation

  • Prompt eye irrigation with tap water immediately after alkali burns is important for achieving better clinical and ocular outcomes 2.
  • Delaying irrigation can lead to more severe ocular damage and worse outcomes, emphasizing the need for immediate action in cases of chemical burns 4, 2.

References

Research

The tolerability of lactated Ringer's solution and BSS plus for ocular irrigation with and without the Morgan therapeutic lens.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 1998

Research

Chemical Burns of the Eye.

Advanced emergency nursing journal, 2017

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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