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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, phone 999 or the nearest Eye Casualty

John Radcliffe Hospital Eye Casualty - call our specialised telephone triage number:

Tel: 01865 234567 option 1 followed by option 1, Monday to Friday 8.30am - 4.30pm, Saturday and Sunday 8.30am - 3.30pm (including Bank Holidays)

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 clinician today

Please contact NHS 111 - Go to 111.nhs.uk or call 111, or attend your nearest Minor Injuries Unit 

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

(111 online does not currently take questions about children aged under 5, so if your child is 4 or younger,  please call 111).

If symptoms persist for 4 hours or more and you have not been able to speak to either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features.

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.

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

Where should you seek help?

The service provides assessment and treatment for people with recently occurring minor eye conditions.

Provided by MECS accredited optometrists (also known as opticians) across Oxfordshire who have specialist knowledge, equipment, training and skills.

Please note, this service is for people aged 6 and over.

Go to the MECS website for more information and how to book an appointment: Minor Eye Conditions Service – Oxfordshire LOC

Minor eye conditions that can be treated by the service include but are not limited to:

  • Red eye or eyelids
  • Dry, gritty, irritable and uncomfortable eyes
  • Significant recent sticky or watery discharge from the eye
  • Recently occurring flashes and or floaters
  • Painful eye including pain with bright lights
  • Ingrowing eyelashes
  • Recent and sudden change in vision
  • Foreign body in the eye
  • Unusual eye appearance (lumps and bumps)

Please note this is not an eyesight test.

You will not be eligible for a MECS  appointment if you:

  • Do not have an Oxfordshire GP.
  • Are under the age of 6.
  • Have had the condition for longer than 6 weeks.
  • Wear contact lenses and believe the condition is related to your use of them (please contact your regular contact lens Optician).

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

  • Visit a pharmacy if your child is ill, but does not need to see a GP
  • Remember that if your child's condition gets worse, you should seek further medical advice immediately
  • 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?

The 0-19 Service for children and young people is delivered by Oxford Health NHS Foundation Trust and offers a single point of access for Health Visiting, School Nursing and the Family Nurse Partnership. You can contact the teams using the details below:

Single Point of Access (SPA): 01865 903 800

Email: cyp0-19@oxfordhealth.nhs.uk

Chat Health Parentline

Text us any time for confidential advice and support and you will have a response the next working day (Monday-Friday exluding Bank Holidays).

Parents and carers for children aged 0-4: Text 07312 263 081

Parents and carers of children aged 5-11: Text 07312 263 227

Young people aged 11-19 and their parents and carers: Text 07312 263 08

Health Visitors

Health visitors are registered nurses or midwives who have additional training in community public health nursing. They provide a universal service, targeted to individual needs for children aged 0-5 years. Learn more about the Oxfordshire Health Visiting Service here!

School and college Health Nurses

School Health Nurses are specialist public health nurses and have offices across Oxfordshire. They work very closely with Health Visitors to support school aged children. They are available for young people to access in secondary schools and colleges, and offer a service to children who are home educated. They work closely with children, young people and their families to support and promote health and wellbeing. Learn more about the Oxfordshire School and college Health Nursing Service here!

Family Nurse Partnership

The Family Nurse Partnership service supports parents who are aged 19 years or under at conception, or under 21 years if they have been in care. The Family Nurse works alongside younger parents in their home, offering health, wellbeing and development support and information from the early stages of pregnancy, usually up until your child is two. Learn more about the Family Nurse Partnership service here!

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:

  • Doctors or GPs can treat many illnesses that do not warrant a visit to A&E
  • 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, you can call 111 or use 111 online.

Please note that 111 online is for people aged 5 and over. Call 111 if you need help for a child under 5.

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 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

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