Podcast 743: Rust Rings

<p><strong>Contributor: Jared Scott, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">A rust ring can occur after a metallic foreign body is left in the eye for a prolonged period of time</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Issues occur when the rust ring is left as it can epithelialize and become a permanent spot in the patient’s vision</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">An eye burr or Alger brush can help to gouge out the rust ring in the emergency setting</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">These tools have a failsafe mechanism to prevent the eye burr from going through layers past the cornea (though this does not work if the foreign body is already through the cornea)</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Referral to ophthalmology, antibiotic drops, and dilating drops are recommended options upon discharge</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Complications include poor wound healing, scarring, and infection</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Camodeca AJ, Anderson EP. Corneal Foreign Body. [Updated 2021 Apr 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536977/</span></p> <p><span style= "font-weight: 400;">https://www.reviewofoptometry.com/article/no-insult-to-injury-managing-foreign--body-removal</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 cred