Burns to the Eye

British Columbia Specific Information

Any burn injury to the eye requires medical attention as soon as possible. Provide first aid, such as immediately flushing the eye with cool water, until the injured person can be transported for medical aid to stop further injury to the eye.

If you are concerned about a possible chemical burn, call Poison Control right away at 1-800-567-8911 toll-free in British Columbia or 604-682-5050 in Greater Vancouver. If you are concerned about a burn to the eye, call 9-1-1. For more information call 8-1-1 or your health care provider immediately, as a burn to the eye requires medical attention as soon as possible. For more information on chemical burns, visit the British Columbia Drug and Poison Information Centre website.

Overview

Most substances that you get in your eyes and that make your eyes burn won't cause serious eye problems. The only treatment needed for items such as soaps, shampoos, and perfumes that get in the eyes is to flush the eyes with water right away. After flushing, the eyes may be slightly painful and irritated. But these symptoms should go away quickly.

Chemical burns can happen if a solid or liquid chemical or chemical fumes get into the eye. Many substances won't cause damage if they are flushed out of the eye quickly. Acids (such as bleach or battery acid) and alkali substances (such as oven cleansers or fertilizers) can damage the eye. It may take 24 hours after the burn occurs to tell how serious an eye burn may be. Chemical fumes and vapours can also irritate the eyes.

Burns to the eyelid or eye can cause eye problems. Blasts of hot air or steam can burn the face and eyes. Bursts of flames or flash fires from stoves or explosives can also burn the face and eyes.

Eyes that aren't protected by a mask or ultraviolet (UV) filtering sunglasses can be burned if they're exposed to the high-intensity light of a welder's equipment (torch or arc) or to bright sunlight. (This is most likely when the sun reflects off snow or water). The eyes also may be injured by other bright lights, such as from tanning booths or sunlamps. Exposure to high-intensity light may cause temporary blindness. It may take up to 24 hours to know how bad the eye injury is.

After a burn injury to the eye, it's important to watch for signs of an eye infection. Signs include pain in the eye and blurred or decreased vision.

Check Your Symptoms

Do you have a heat or chemical burn to the eye?

Immediate first aid for a heat or chemical burn is to flush the eye with water.

Yes

Heat or chemical burn to eye

How old are you?

Less than 4 years

4 years or older

Are you male or female?

Male

Female

The medical assessment of symptoms is based on the body parts you have.

If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
If your symptoms aren’t related to those organs, you can choose the gender you identify with.
If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.

Have you had any new vision changes?

These could include vision loss, double vision, or new trouble seeing clearly.

Yes

New vision changes

Did you have a sudden loss of vision?

A loss of vision means that you cannot see out of the eye or out of some part of the eye. The vision in that area is gone.

Yes

Sudden vision loss

Do you still have vision loss?

Yes

Vision loss still present

Did the vision loss occur within the past day?

Yes

Vision loss occurred in the past day

Have you had double vision?

Yes

Double vision

Are you seeing double now?

Yes

Double vision now present

Did the double vision occur within the past day?

Yes

Double vision occurred in the past day

Are you having trouble seeing?

This means you are having new problems reading ordinary print or seeing things at a distance.

Yes

Decreased vision

Do you have any eye pain?

Yes

Eye pain

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

Signs of pain in an adult or child are different than signs of pain in a baby or toddler.

8 to 10: Severe pain

Severe eye pain

5 to 7: Moderate pain

Moderate eye pain

1 to 4: Mild pain

Mild eye pain

Has there been a change in the size or shape of the pupil (the black centre of the eye)?

Yes

Pupil changes after injury

Has the surface of the coloured part of the eye turned cloudy or white?

This surface or covering (called the cornea) usually is clear.

Yes

Cornea is cloudy or white

Does light make your eyes hurt?

Yes

Sensitivity to light

Does the light hurt so much that you have trouble opening your eyes?

Yes

Hard to open eyes because of discomfort with light

Do you suspect that the injury may have been caused by abuse?

This is a standard question that we ask in certain topics. It may not apply to you. But asking it of everyone helps us to get people the help they need.

Yes

Injury may have been caused by abuse

Does it feel like there is something in the eye?

This is worse than the eye feeling gritty or a little irritated. This actually may make it hard to keep the eye open.

Yes

Feels like something is in eye

Is it very hard or impossible to open the eye because of the discomfort?

Yes

Hard to open eye because of discomfort with feeling something in eye

Is there any swelling around the eye?

Yes

Swelling around eye

Is the swelling so severe that you cannot see out of the eye?

Yes

Severe swelling around eye

Do you think the eyelid or the skin around the eye may be infected?

Symptoms could include redness, pus, increasing pain, or a lot of swelling. (A small bump or pimple on the eyelid, called a stye, usually is not a problem.) You might also have a fever.

Yes

Symptoms of infection around eye

Do you think you may have a fever?

Yes

Possible fever

Do you have diabetes or a weakened immune system?

What weakens the immune system in an adult or older child may be different than in a young child or baby.

Yes

Diabetes or immune problem

Is there any pus coming from the area around the eye (not from the eye itself)?

Yes

Pus from area around eye

Is there any redness in the part of the eye that's usually white?

This does not include a blood spot on the eye.

Yes

Redness in part of eye that's usually white

Are there blisters on the eyelids?

Yes

Blisters on eyelids

Is there any pus or thick drainage coming from the eye (not from the skin around the eye)?

This does not include water or thin, watery drainage. Pus is thicker and may make the eyelids stick together.

Yes

Pus draining from eye

Have you had eye problems for more than 72 hours?

Yes

Eye problems for more than 72 hours

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

Your age. Babies and older adults tend to get sicker quicker.
Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

Try home treatment to relieve the symptoms.
Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

HomeTreatment

RelatedInformation

Flushing the eye with water is the most important first-aid step for a burn to the eye.

You can use any of these methods to flush the eye. Remove contact lenses first, if you can, and then hold your eyelids open while you:

Stand under a shower with open eyes.
Put your face under a running faucet.
Use a kitchen sink sprayer at low pressure.
Immerse your face in a sink or pan filled with water.
Run water from a garden hose over your eye (do not use the spray nozzle).
Pour water from a pitcher or jug over your eye.

Do not use alcohol to flush the eye.

Pain in adults and older children

Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:

Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
Long-term alcohol and drug problems.
Steroid medicines, which may be used to treat a variety of conditions.
Chemotherapy and radiation therapy for cancer.
Other medicines used to treat autoimmune disease.
Medicines taken after organ transplant.
Not having a spleen.

Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in children are:

Diseases such as diabetes, cystic fibrosis, sickle cell disease, and congenital heart disease.
Steroid medicines, which are used to treat a variety of conditions.
Medicines taken after organ transplant.
Chemotherapy and radiation therapy for cancer.
Not having a spleen.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

If a chemical got in the eye:

Call the local poison control centre. The poison control centre will tell you exactly what to do.

For any other burns to the eye:

Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning.
If the symptoms get worse, seek care sooner.

The immediate first aid for chemical or heat burns in the eye area is to flush the eye with cool water for at least 30 minutes.

Flushing your eye is the most important first aid measure for something in the eye.

If you are wearing contacts, remove them before flushing your eye.
Flush the eye from the inner corner toward the outer corner. This prevents a substance in one eye from washing into the other eye.
Flush the eye with cool water.

HomeTreatment

RelatedInformation

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

If a chemical got in the eye:

Call the local poison control centre. The poison control centre will tell you exactly what to do.

For any other burns to the eye:

Call your doctor now to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care in the next hour.
You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.

The immediate first aid for chemical or heat burns in the eye area is to flush the eye with cool water for at least 30 minutes.

Flushing your eye is the most important first aid measure for something in the eye.

If you are wearing contacts, remove them before flushing your eye.
Flush the eye from the inner corner toward the outer corner. This prevents a substance in one eye from washing into the other eye.
Flush the eye with cool water.

Call9-1-1 Now

Based on your answers, you need emergency care.

Call 9-1-1 or other emergency services now.

Flushing your eye is the most important first aid measure for something in the eye.

If you are wearing contacts, remove them before flushing your eye.
Flush the eye from the inner corner toward the outer corner. This prevents a substance in one eye from washing into the other eye.
Flush the eye with cool water until help arrives.

Sometimes people don't want to call 9-1-1. They may think that their symptoms aren't serious or that they can just get someone else to drive them. But based on your answers, the safest and quickest way for you to get the care you need is to call 9-1-1 for medical transport to the hospital.

Self-Care

Home treatment may relieve your eye symptoms.

Immediately flush the eye with cool water. If you wear contacts, be sure to remove them. This is the first step in first aid for a chemical burn or first aid for a heat burn to the eye. Fill a sink or dishpan with water. Put your face in the water, and then open and close your eyelids to force water to all parts of your eye. For a chemical burn, call a poison control centre to learn more about how to treat the burn.

Eye injuries in children

Using first aid for a child's eye injury may be hard. It depends on the child's age, size, and ability to co-operate. Having another adult help you treat the child is helpful. Stay calm, and talk in a soothing voice. Use slow, gentle movements to help the child stay calm and co-operative. A struggling child may need to be held strongly so that first aid can be started and so that you can assess how serious the eye injury is.

When to call for help during self-care

Call a doctor if any of the following occur during self-care at home:

Vision changes, such as blurred vision, loss of vision, or double vision.
Pain or drainage that does not get better.
New blood in the eye.
New sensitivity to light.
New signs of infection, such as redness, swelling, pus, or a fever.
Symptoms occur more often or are more severe.

Learn more

Preparing For Your Appointment

You can help your doctor diagnose and treat your condition by being prepared for your appointment.

Making the Most of Your Appointment

Credits

Current as of: October 12, 2022

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP - Emergency Medicine
Kathleen Romito MD - Family Medicine
Adam Husney MD - Family Medicine