A 34-year-old male presents to the emergency department after being struck in the face with a metal object during a construction accident. He complains of severe eye pain and blurred vision. Upon inspection, you notice a tear-shaped pupil and blood in the anterior chamber of the eye. What is the most appropriate immediate action?
Shield the eye and urgently refer to an ophthalmologist
Patch the affected eye and administer systemic steroids
Administer a topical anesthetic and perform a visual acuity test
Irrigate the eye thoroughly to remove foreign bodies