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?
Irrigate the eye thoroughly to remove foreign bodies
Administer a topical anesthetic and perform a visual acuity test
Shield the eye and urgently refer to an ophthalmologist
Patch the affected eye and administer systemic steroids