Burring out rust-rings...

[erdoc00]

How many of you are doing this in the ER vs having patients follow up with ophtho so that they can do it?

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[Rendar5]

How many of you are doing this in the ER vs having patients follow up with ophtho so that they can do it?

ophtho. never trained with a burr, nor do I have access to one. I feel very comfortable removing the main FB with a needles though.

 

[EM2BE]

I use the burr to remove the metal as long as the patient is cooperative and it's more superficial. I don't work on the rust ring - I leave that to ophtho.

 

[WilcoWorld]

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[WilcoWorld]

FB removal is an emergency procedure, so I'll do it. Rust ring removal can be done the next day in clinic - so I don't do it. I suppose if I worked in Alaska I might learn to do it myself.

 

[Chip N Sawbones]

What happens if you don't remove the rust ring? I've been dinged with four steel splinters in my eyes. I went to a clinic to get three of them removed and I got the last one out myself, but I don't think the rust ring was removed after any of them.

 

[zinjanthropus]

Burr drill is very safe - I was trained to use it and I now train our residents to do so- just play around with it a little and get comfortable

 

[deleted6669]

Burr drill is very safe - I was trained to use it and I now train our residents to do so- just play around with it a little and get comfortable

Agree- practice on a hard boiled egg rolled in dirt or iron shavings.
as far as the rust ring- if it's not too deep I use the burr to remove it. for deeper rust I refer them to ophtho. for FBs not terribly deep I use the eye spud as my first line tool and use the burr for deeper ones.