Eye Injury

There are about 1000 serious accidental eye injuries in children in the UK every year.

These injuries can range from scratches to the surface of the eye and chemical burns and having
foreign objects in the eye.
The advice below should help you decide whether your child’s eye injury requires further
help or whether it can be managed by yourself at home.
If your child has a red eye but has not injured it please click here.

When should you worry?

If your child has any of the following:
 
  • Any changes to their sight
  • Unable to open eye
  • Pupils not round or equal in size
  • The injury is due to chemicals
  • Something stuck in the eye
  • Severe eye pain
  • Bleeding
  • Nausea or vomiting
  • Child under 2






You need urgent help.

Go to the nearest Hospital Emergency (A&E) Department or phone 999

 

Please try the following first aid:

 

  • Wash out the affected eye with clean water if there were chemicals or something in it
  • Lightly cover the eye
If your child has any of the following:

 

  •  Been hit in the eye with a ball or other object
  •  Red or irritated eye
  •  A swollen, red or painful area around the eye or eyelid
  •  Very sensitive to light
  •  Not getting better after 24 hours






You need to contact a doctor or nurse today.

Please ring your GP surgery or call NHS Wales 111 - dial 111

Please try the following first aid:

  • Wash out the affected eye with clean water if there were chemicals or something in it
  • Lightly cover the eye
If none of the above features are present


Self Care
Continue providing your child’s care at home – see below for tips on managing injuries at
home.







Self care

Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111

How can you care for eye injuries at home?

Wash out the affected eye

 If the eye has been exposed to chemicals or fine particles like sand or grit.

 Do not wash the eye if injury involved significant force or you can see any cuts to the eye itself

 Use clean water (not hot) – this can be from a tap, shower, or bottled water if you're not at home

 Hold the eye open

 Run lots of water over the eyeball for at least 20 minutes

 Make sure the flow of water is not too strong.

Pain relief

 Give simple pain relief like paracetamol or ibuprofen as required.

Do not take more  than the recommended dose on the instructions

Other

Lightly cover the eye to prevent your child from rubbing it

Think prevention


Children who play sports should wear protective goggles or unbreakable glasses as needed.
Keep chemicals and other hazardous objects/products out of reach of children.
Supervise your child when they are playing with toys or Nerf guns.
Make sure your child has age-appropriate toys.
Make sure all safety equipment meets national standards.
Make sure sharp edges, such as table corners, are covered if your child is toddling around.

For wear and tear, minor trips and everything in between.

Self-care

You can treat your child's very minor illnesses and injuries at home.

Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.

Sound advice

Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.

For information on common childhood illnesses go to What is wrong with my child?

Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.

Sound advice

  1. Visit a pharmacy if your child is ill, but does not need to see a GP.
  2. Remember that if your child's condition gets worse, you should seek further medical advice immediately.
  3. Help your child to understand - watch this video with them about going to the pharmacy.

For information on common childhood illnesses go to What is wrong with my child?

Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Wales Programme. They work with you through your pregnancy up until your child is ready to start school.

Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.

Contact them by phoning your Health Visitor Team or local Children’s Centre.

Sound advice

Health visitors also provide advice, support and guidance in caring for your child, including:

  • Breastfeeding, weaning and healthy eating
  • Exercise, hygiene and safety
  • Your child’s growth and development
  • Emotional health and wellbeing, including postnatal depression
  • Safety in the home
  • Stopping smoking
  • Contraception and sexual health
  • Sleep and behaviour management (including temper tantrums!)
  • Toilet training
  • Minor illnesses

For more information watch the video: What does a health visitor do?

School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.

Contacting the School Nurse

Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.

There is also a specialist nurse who works with families who choose to educate their children at home.

Sound Advice

Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.

They all have a role in preventing disease and promoting health and wellbeing, by:-

  • encouraging healthier lifestyles
  • offering immunisations
  • giving information, advice and support to children, young people and their families
  • supporting children with complex health needs

Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.

GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.

Sound advice

You have a choice of service:

  1. Doctors/GPs can treat many illnesses that do not warrant a visit to A&E.
  2. Help your child to understand – watch this video with them about visiting the GP or going to a walk in centre

For information on common childhood illnesses go to What is wrong with my child?

If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.

Sound advice

Use NHS 111 Wales if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.

For information on common childhood illnesses go to What is wrong with my child?

A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.

Sound advice

  1. Many visits to A&E and calls to 999 could be resolved by any other NHS services.
  2. If your child's condition is not critical, choose another service to get them the best possible treatment.
  3. Help your child to understand – watch this video with them about going to A&E or riding in an ambulance

Improving the physical and emotional health and wellbeing of expectant mothers, infants, children and young people throughout Aneurin Bevan University Health Board Area.

(N.B: The Family and Therapies team at ABUHB is NOT responsible for the content on the webpage links that we refer to in our resource sections and linked information to external sites. All information was accurate and appropriate at the time the webpage was created.)

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