Corneal Abrasion Treatment
Diagnosis
From symptoms alone in many cases:
- Unilateral foregin body sensation
- Lacrimation
- Photophobia
- Redness
- Scratchy eye feeling
Treatment
- Consider sterile flush for foreign bodies such as lashes
- Antibiotic drops or ointment
- Drops: Trimethoprim-Polymyxin BG Opthalmic Solution QID for 4 days
- Ointment: Erythromycin Opthalmic Ointment 0.5% QID for 4 days
- May cause blurry vision
- One time dose topical anesthetic
- Tetracaine 0.5% opthalmic solution
- Futher doses can cause corneal damage and Topical Ocular Anesthetic Abuse Syndrome
- Do not leave the bottle at the bedside
- Lubrication
- Methylcellulose Opthalmic Drops 0.5% (Refresh) PRN
- No indication for eye patch or topical steroids
- No contact lense use until treatment is complete
- Follow Up with anesthesia by phone within 48hrs and if no improvement in 48hrs follow up with opthalmology
This post is licensed under CC BY 4.0 by the author.