What is an essential action when the eyes are exposed to chemical irritants or toxins?

• A. Immediate eye irrigation with clean water or saline for at least 15 minutes
• B. Wipe eyes with a dry cloth
• C. Delay irrigation until ED
• D. Bandage both eyes without irrigation

Answer: (A)

When the eyes are exposed to chemical irritants, the priority is to dilute and flush the irritant away as quickly as possible to minimize tissue injury. The best action is immediate irrigation with clean water or saline for at least 15 minutes. This rapid, continuous rinse helps remove the chemical from the ocular surface, reduces ongoing irritation, and supports the chance of preserving vision.

During irrigation, keep the eyelids open to allow water to reach the entire surface of the eye, use a steady flow from a safe source (faucet, eyewash station, or clean container), and if safe to do so, remove contact lenses to facilitate thorough flushing. Do not rub the eyes and avoid applying ointments or bandages before irrigation is completed, as these can trap the irritant or cause further injury.

If the substance is caustic or persistent symptoms develop after irrigation (pain, redness, vision changes), seek emergency care promptly for further evaluation and potential treatment.