Ocular chemical injuries cause blindness, and early treatment is critical:

• Irrigate until pH is normal (borate buffer preferred).
• Identify the offending agent.
• Remove particulate matter if pH fails to normalize.
• Evaluate and quantify ocular surface damage.
• Consider surgery for necrosis.
• Treat inflammation and elevated IOP aggressively.
• Prevent corneal scarring and keratolysis.

The role of contact lens and/or amnion remains controversial.