A boy with a sparkler in the eye receives initial management. Which is most appropriate?

• A. Irrigate the eye for at least 20 minutes
• B. Apply Bacitracin ointment and patch the eye
• C. Remove the sparkle with a moistened cotton swab
• D. Protect the eye with a metal shield and refer to an ophthalmologist

Answer: (A)

Irrigation is the best first step because flushing the eye with clean water or sterile saline removes loose debris and any heat or chemical residues from the sparkler, reducing the risk of corneal abrasion and infection. This simple, noninvasive action helps restore a clearer view of the surface and allows assessment for any ongoing injury once the eye is rinsed. Avoid rubbing or trying to extract the particle with a cotton swab, since that can scratch or embed the foreign body. If the object is embedded, or if pain, decreased vision, or signs of penetrating injury persist after irrigation, shield the eye and seek urgent ophthalmology evaluation.