Which action is not recommended in open globe injury management?

• A. Do not apply pressure on the eye
• B. Cover with protective shield
• C. Evacuate
• D. Irrigate the eye vigorously

Answer: (D)

In open globe injuries the priority is to prevent any further damage to the eye by minimizing pressure and movement, while getting the patient to specialized care for surgical repair. Covering the eye with a protective shield is the best action because it shields the eye from accidental touch or trauma without applying pressure. Evacuation to a facility capable of definitive repair is essential and appropriate, as time matters in these injuries. Do not apply pressure on the eye, since even gentle pressure can propagate rupture or push intraocular contents out. Vigorous irrigation of the eye is not advised in this scenario because the force can increase pressure inside the eye and worsen extrusion of contents or spread contaminants; irrigation is typically reserved for chemical burns, not open globe injuries.