Corneal Abrasion (Eye Abrasion)

Description
A scratch (abrasion) to the transparent covering of the center of the eye called the cornea. The cornea allows light to enter the eye, where it strikes the retina and is eventually interpreted by the brain as vision. Trauma to the eye can cause a scratch (abrasion) to the cornea. If the abrasion does not heal correctly an infection can develop resulting in permanent scarring and decreased vision. If the abrasion is caused by a small piece of metal a rust ring can develop in the cornea. This rust ring will need to removed to prevent scarring of the cornea.

Symptoms
Eye pain, eye redness, eye swelling, decreased vision, light sensitivity, increased tearing, foreign body sensation of the eye.

Tests
A history and physical exam will be completed. Complete ophthalmologic exam using a slit lamp to rule out foreign bodies in the cornea or other injuries may be performed.
Treatment
Treatment includes antibiotic solution and/or ointment to prevent infection. Eye patching is used for comfort only since patches have not been shown to speed healing. If the patient's tetanus status is not up to date a DP (diphtheria / tetanus) booster may be given.


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