Eye irrigation
Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation
Irrigate affected eye(s) with copious amounts of fluid (no consensus on volume or length of time)
NS, LR, or BSS (Buffered Saline Solution) preferred in the hospital setting, but tap water is acceptable, especially in pre-hospital setting.
Goal is to remove caustic agent and restore normal ocular pH (7.0-7.2)
Do NOT attempt to neutralize pH by adding base to an acidic burn or acid to an alkali burn
Use of morgan lens or eyelid speculum will assist with getting more fluid in contact with cornea
Remove particulate matter
Evert both lids, remove any visible particulate matter with cotton-tipped applicator
Anesthesia
Topical anesthetic (e.g. tetracaine) to help with discomfort.
Other options include cycloplegics (e.g. atropine, cyclopentolate), IV/IM/PO analgesics
Antibiotics
Erythromycin ophthalmic ointment QID for minor burns
Topical fluoroquinolone for more severe burns
Control inflammation
Topical steroids - prednisolone 1% ophthalmic QID for 1 week
Limit topical steroid use to 10 days to avoid corneal breakdown.
Ophthalmology consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)
Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation
Irrigate affected eye(s) with copious amounts of fluid (no consensus on volume or length of time)
NS, LR, or BSS (Buffered Saline Solution) preferred in the hospital setting, but tap water is acceptable, especially in pre-hospital setting.
Goal is to remove caustic agent and restore normal ocular pH (7.0-7.2)
Do NOT attempt to neutralize pH by adding base to an acidic burn or acid to an alkali burn
Use of morgan lens or eyelid speculum will assist with getting more fluid in contact with cornea
Evert both lids, remove any visible particulate matter with cotton-tipped applicator
Topical anesthetic (e.g. tetracaine) to help with discomfort.
Other options include cycloplegics (e.g. atropine, cyclopentolate), IV/IM/PO analgesics
Erythromycin ophthalmic ointment QID for minor burns
Topical fluoroquinolone for more severe burns
Topical steroids - prednisolone 1% ophthalmic QID for 1 week
Limit topical steroid use to 10 days to avoid corneal breakdown.
Caustic keratoconjunctivitis
Caustic ingestion
Epidemic keratoconjunctivitis
Caustic eye exposure 
Gonorrheal conjunctivitis
Caustic dermal burn
Allergic conjunctivitis
Airbag-related burns