Appendix A: Class VIII Medical Materiel

Based on the CPG below is an extensive list of supplies for managing ocular injuries.

Personal Protective Equipment (PPE)

  • Nitrile gloves

Initial Assessment Equipment

  • K9‐size muzzle (soft, adjustable)

Ophthalmic Examination Supplies

  • Ophthalmoscope, penlight or small LED light
  • Fluorescein dye strips
  • Sterile saline for eye irrigation
  • Cotton-tipped applicators
  • Tonopen or rebound tonometer
  • pH paper

Irrigation Supplies

  • 500-1000 mL sterile saline or LRS
  • IV administration set or irrigation tubing
  • 10-60 mL syringes
  • Eye wash bottle or Morgan lens (if available/appropriate)
  • Gauze sponges (2x2 or 4x4)

Foreign Body Removal Tools

  • Sterile cotton swabs
  • Sterile eyewash solution

Protection Supplies

  • Elizabethan collar (e-collar) or similar device (bucket)
  • Elastic wrap (VetWrap or equivalent)
  • Tape (silk or medical adhesive)

Documentation Supplies

  • K9TCCC Card (DD 3073)
  • Permanent marker
  • Camera (tablet/phone) for wound documentation

Medications

Topical Ophthalmic Agents

  • Proparacaine 0.5%, tetracaine, lidocaine (topical anesthetic)
  • Broad-spectrum ophthalmic antibiotic ointment (e.g., tobramycin)
  • Triple antibiotic ophthalmic ointment
  • Ofloxacin ophthalmic drops (if needed)
  • Eye lubricant ointment (preservative free is preferred)
  • Topical steroid (e.g. prednisolone acetate 1%)

Systemic Medications

  • NSAIDs (e.g. carprofen, meloxicam)
  • Opioid analgesics (e.g., fentanyl, morphine, hydromorphone)
  • Sedatives for exam/treatment (e.g. trazodone, gabapentin, midazolam, dexmedetomidine, ketamine)
  • Antibiotics (amoxicillin-clavulanic acid)
  • Ondansetron

Surgical Supplies

  • Minor surgical kit
  • Suture material (5-0 to 6-0 braided absorbable suture or 3-0 to 4-0 monofilament absorbable and non-absorbable suture)
  • Lidocaine for nerve blocks
  • Ophthalmic surgical instruments (if available)
  • Required medications for sedation and general anesthesia for K9

For additional information including National Stock Number (NSN), please contact dha.ncr.med-log.list.lpr-cps@health.mil

DISCLAIMER: This is not an exhaustive list. These are items identified to be important for the care of combat casualties.