Corneal abrasions and corneal foreign bodies: Management
- Deborah S Jacobs, MD
Deborah S Jacobs, MD
- Assistant Clinical Professor of Ophthalmology
- Harvard Medical School
- Section Editors
- Jonathan Trobe, MD
Jonathan Trobe, MD
- Section Editor — Ophthalmology
- Professor of Ophthalmology and Visual Sciences
- Professor of Neurology
- University of Michigan Kellogg Eye Center
- Richard G Bachur, MD
Richard G Bachur, MD
- Section Editor — Pediatric Trauma
- Professor of Pediatrics and Emergency Medicine
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
Corneal abrasions are common eye injuries that frequently result from eye trauma, retained foreign bodies, and improper contact lens use. Patients typically present with severe eye pain, photophobia, and a foreign body sensation. Key aspects of clinical evaluation include exclusion of an open globe and hyphema, measurement of visual acuity, fluorescein examination, and lid eversion to assess for a conjunctival foreign body. Treatment of small, uncomplicated corneal abrasions consists of topical antibiotic therapy and either topical or oral pain medication. Most small abrasions heal fully within 24 hours.
This topic will review the management of corneal abrasions. The clinical manifestations and diagnosis of corneal abrasions, the evaluation of the red eye, and the assessment and management of other ocular injuries are discussed separately:
●(See "Evaluation of the red eye".)
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- INDICATIONS FOR SUBSPECIALTY CONSULTATION OR REFERRAL
- Traumatic and foreign body abrasions
- - Foreign body removal
- Rust ring
- - Topical antibiotics
- - Pain control
- - Patching
- Contact lens related abrasions
- - Infectious keratitis risk
- Recurrent erosion
- Treatments to avoid
- PEDIATRIC CONSIDERATIONS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS