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What should be done when treating a foreign object in the eye with potential rust ring?

Replace with gauze

Remove with a spud

When dealing with a foreign object in the eye, particularly one that has the potential to cause a rust ring (which often occurs with metallic objects), removing the object with a spud is the correct approach. A spud is a specialized medical tool designed specifically for the safe removal of foreign bodies from the eye.

Using a spud is advantageous because it allows for the careful detachment of the foreign object without causing further injury to the cornea or surrounding tissue. This tool helps in flattening the rust ring and allows for a more precise removal while minimizing additional trauma.

Addressing the presence of a rust ring is critical since it can lead to complications such as corneal scarring and persistent eye discomfort if not handled properly. The other options, such as replacing with gauze or using topical steroids, do not address the need for removing the irritant directly. Monitoring for eyelid twitch might indicate some level of irritation or discomfort, but it does not treat the underlying issue of the foreign object in the eye, nor does it facilitate the removal of rust. Thus, using a spud is the best practice to resolve the situation effectively.

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Use topical steroids

Monitor for eyelid twitch

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