Australian Government - Department of Health

Medical Services Advisory Committee (MSAC)

1243 - The removal of imbedded corneal foreign bodies to any person presenting to an optometrist.

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Application Number1243
Application NameThe removal of imbedded corneal foreign bodies by an Optometrist
Description of Medical ServiceAn imbedded corneal foreign body is normally removed using a hypodermic needle, foreign body gouge, fine forceps or similar surgical instrument under magnification provided by a slit lamp biomicroscope. The technique used depends upon the location, depth and degree of ‘imbeddedness’, as well as the foreign body material. The aim is to remove the foreign body with minimal ocular tissue disruption, which hastens recovery and minimises corneal scar tissue formation.
Description of Medical ConditionAn ‘ocular foreign body’ is an object that has entered and is present in the eye. This includes objects that are synthetic or natural in origin (wood, glass, metal, etc.). These objects can be introduced into the eye via some type of trauma such as accident, natural force (wind blowing something in the eye) or other method of delivery.

Superficial particles that enter the eye can often be removed with an irrigating solution. An object which cannot be dislodged by flushing is considered imbedded. For the purposes of this submission and the proposed item, an imbedded corneal foreign body is one that is lodged in the sub-epithelial or intra-epithelial corneal layers.
Consultation Protocol24 June 2013 to 19 July 2013
Consultation Protocol (PDF 2069 KB)
Consultation Protocol (Word 447 KB)
Final ProtocolFinal Protocol (PDF 1321 KB)
Final Protocol (Word 448 KB)
MSAC OutcomesPublic Summary Document (PDF 235 KB)
Public Summary Document (Word 586 KB)

Meetings for this Application:

Meeting Type:Date:
PASC18 April 2013
15 to16 August 2013
ESC 12 to13 June 2014
MSAC 26 to 28 November 2014

Page currency, Latest update: 20 April, 2015