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In cases of an impaled foreign body in the eye, removing the object is contraindicated because such action can exacerbate the injury. Impaled objects may be stabilizing the injury site and removing them could lead to increased bleeding, damage to the ocular structures, or loss of the eye. It is crucial to allow medical professionals to handle the situation in a controlled environment where they can manage the injury appropriately, often using imaging to evaluate any potential complications.

Patching the unaffected eye is a standard approach to minimize eye movement and reduce the risk of sympathetic movement in the affected eye. Securing the area with gauze rolls helps stabilize the impaled object and protects the eye from further injury during transport. Discouraging sudden head movement is important to prevent jostling or additional injuries while the individual awaits treatment. Each of these actions contributes to preserving the patient's vision and safety until advanced medical care can be provided.