Which statement about securing a rigid eye shield is accurate?

• A. It should cover both eyes to ensure protection for both eyes.
• B. It should be secured with tape at a 45-degree angle.
• C. It should be applied with direct pressure over the eyeball.
• D. It should not be used if there is any bleeding.

Answer: (B)

Securing a rigid eye shield is about immobilizing the shield without putting pressure on the eyeball. The shield should cover the injured eye and be taped in place with strips at about a 45-degree angle around the orbital rim. This angling anchors the pad securely to the surrounding facial bones, preventing slip during movement while avoiding direct pressure on the eyeball itself. It also helps keep vision for the uninjured eye intact and prevents unnecessary occlusion.

Covering both eyes isn't needed and can hinder vision. Direct pressure over the eyeball is exactly what you want to avoid, since that can worsen injury. The presence of bleeding in or around the eye doesn't automatically preclude using a shield; you typically control bleeding with gauze while the shield protects the eye from further harm.