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Corneal Abrasion

Diagnosis

From symptoms alone in many cases:

  • Unilateral foreign body sensation
  • Lacrimation
  • Photophobia
  • Redness
  • Scratchy eye feeling

Treatment

  1. Consider sterile flush for foreign bodies such as lashes
  2. Antibiotic drops or ointment
  3. Drops: Trimethoprim-Polymyxin B Ophthalmic Solution QID for 4 days

  4. Ointment: Erythromycin Ophthalmic Ointment 0.5% QID for 4 days

    • May cause blurry vision

  5. One time dose topical anesthetic

  6. Tetracaine 0.5% ophthalmic solution

  7. Further doses can cause corneal damage and Topical Ocular Anesthetic Abuse Syndrome

  8. Do not leave the bottle at the bedside

  9. Lubrication

  10. Methylcellulose Ophthalmic Drops 0.5% (Refresh) PRN

  11. No indication for eye patch or topical steroids

  12. No contact lens use until treatment is complete
  13. Follow Up with anesthesia by phone within 48hrs and if no improvement in 48hrs follow up with ophthalmology

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