Chemical in the Eye

Emergency first aid: rinse first, then go to hospital

हिंदी में पढ़ें: आँख में चोट या केमिकल

A chemical splash in the eye is a true emergency. Every second counts: start rinsing with water immediately, before calling anyone or travelling. Alkalis such as lime (chuna), cement, toilet and drain cleaners, ammonia and washing soda are the most dangerous because they keep penetrating the eye.

Do this now

  1. Rinse the eye with clean running tap water (or saline, or any clean drinkable liquid) for at least 20 to 30 minutes.
  2. Hold the eyelids wide open and roll the eye in all directions; tilt the head so water runs away from the other eye.
  3. Remove contact lenses while rinsing if possible.
  4. Brush away any solid particles (lime, cement) from the lids and lashes.
  5. Then go straight to an eye hospital, taking the chemical bottle or its name with you, and keep rinsing on the way if you can.

Do

  • Use plenty of water; more is better.
  • Rinse a child's eye in the shower or under a tap, with someone holding the lids open.

Don't

  • Don't wait for a doctor before rinsing.
  • Don't try to neutralise the chemical with milk, vinegar, lemon or other chemicals.
  • Don't put ghee, honey, rose water or ointment in the eye.
  • Don't cover the eye tightly or rub it.

At the hospital

The team checks the eye's acidity (pH) with paper strips and continues rinsing until it is normal, removes particles from under the lids, grades the injury, and starts antibiotic, steroid and lubricating drops, and sometimes vitamin C and doxycycline tablets. Severe burns may need an amniotic membrane graft in the first week to help healing. Regular follow-up is essential, because damage to the stem cells at the edge of the cornea can show up later.

Prevention

  • Wear safety goggles when using lime, cement, strong cleaners or garden chemicals.
  • Keep chemicals in labelled containers, out of children's reach, never in drink bottles.
  • During whitewashing and festivals, keep children away from wet lime.

Doctors and students can see the grading of chemical injuries and a printable management flowchart.

Frequently asked questions

How long should I rinse the eye?

At least 20 to 30 minutes for any chemical, and longer for alkalis such as lime or cement. Then go to hospital.

Is tap water safe for rinsing?

Yes. Clean tap water is the best first aid because it is immediately available. Speed matters more than the type of fluid.

What if it was only a small splash and the eye feels fine?

Still rinse well and see an eye doctor, especially for alkalis. Damage can be underestimated in the first hour.

Can chemical injuries cause blindness?

Severe alkali burns can cause permanent scarring and vision loss. Immediate rinsing greatly reduces the damage.

Related: Eye Injury & Emergency Treatment Ahmedabad, Roper-Hall vs Dua Classification of Chemical Eye Injury, Diwali Eye Safety: Firecracker Eye Injury First Aid and Tips.

This leaflet gives general information and does not replace advice from your own eye doctor. Reviewed by Dr. Dhaval Patel, MD (Ophthalmology, AIIMS New Delhi), November 2026.

Questions about this?

Sadbhaav Eye & Dental Clinic, Motera, Ahmedabad. Dr. Dhaval Patel, MD (AIIMS New Delhi). Monday to Saturday, 10 am to 1 pm and 5 pm to 8 pm. For a serious eye injury outside clinic hours, go to the nearest eye hospital or emergency department.

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