Corneal Abrasion

10 min read

A corneal abrasion is a scratch or scrape on the outermost layer of the eye, known as the cornea. It is a common eye injury that can be caused by a variety of factors, including contact lenses, dirt, dust, and even fingernails. Corneal abrasions can be painful and can cause vision problems, so it is important to seek medical attention if you suspect you have one.

Causes of Corneal Abrasion

Corneal abrasions can be caused by a variety of factors, including:

  • Contact lenses that are not properly cleaned or inserted
  • Dirt, dust, or other foreign objects in the eye
  • Scratching the eye with fingernails or other sharp objects
  • Chemical burns from cleaning solutions or other chemicals
  • Eye surgery or other medical procedures

Diagnosis of Corneal Abrasion

If you suspect you have a corneal abrasion, it is important to seek medical attention. Your doctor will perform a thorough eye exam to diagnose the abrasion. This may include a slit-lamp exam, which uses a special microscope to examine the eye, or a fluorescein dye test, which uses a special dye to highlight any scratches or abrasions on the cornea.

Complications of Corneal Abrasion

Corneal abrasions can cause a variety of complications, including:

  • Infection
  • Scarring
  • Vision problems
  • Corneal ulcers

Prevention of Corneal Abrasion

To help prevent corneal abrasions, it is important to take the following precautions:

  • Wear protective eyewear when engaging in activities that may cause eye injury
  • Clean and store contact lenses properly
  • Avoid rubbing or scratching your eyes
  • Avoid using expired or contaminated cleaning solutions
  • Avoid using expired or contaminated contact lenses
Take the Corneal Abrasion Assessment

Symptoms

  • Pain in the eye
  • Redness in the eye
  • Blurred vision
  • Sensitivity to light
  • Tearing
  • A feeling that something is in the eye

If you experience any of these symptoms, it is important to seek medical attention as soon as possible. A doctor can diagnose a corneal abrasion and provide treatment to help reduce pain and speed up healing.

Causes

Common Causes of Corneal Abrasion

  • Foreign objects in the eye: Small particles such as dust, dirt, or sand can get into the eye and cause a corneal abrasion. This is especially common in people who work in dusty environments.
  • Contact lenses: Improper use of contact lenses can lead to corneal abrasions. This includes not cleaning the lenses properly, wearing them for too long, or sleeping in them.
  • Eye rubbing: Rubbing the eyes can cause the cornea to become scratched or scraped. This is especially common in people who suffer from allergies or dry eyes.
  • Chemical exposure: Exposure to certain chemicals, such as chlorine or cleaning products, can cause a corneal abrasion.
  • Injury: Trauma to the eye, such as a blow to the face or a sharp object, can cause a corneal abrasion.

If you experience any of the symptoms of a corneal abrasion, it is important to seek medical attention right away. Your doctor can diagnose the condition and recommend the best treatment for you.

Getting a Diagnosis

The doctor may also use a dye called fluorescein to help diagnose a corneal abrasion. Fluorescein is a yellow dye that is applied to the eye. When viewed under a special light, the dye will highlight any scratches or abrasions on the cornea. This helps the doctor to accurately diagnose the injury.

In some cases, the doctor may also order imaging tests, such as an ultrasound or CT scan, to rule out other causes of eye pain or vision problems. These tests can help the doctor to determine the extent of the injury and to rule out other possible causes.

Once the diagnosis of a corneal abrasion is confirmed, the doctor will recommend treatment. Treatment typically involves the use of eye drops or ointments to reduce pain and inflammation, as well as antibiotics to prevent infection. In some cases, the doctor may also recommend a patch or shield to protect the eye from further injury.

Questions for Your Doctor

Symptoms

Describe the symptoms you are experiencing, such as pain, redness, and blurred vision. Be sure to mention any other symptoms you may be having, such as sensitivity to light, discharge from the eye, or a feeling of something in the eye. Your doctor will be able to determine the best course of treatment based on your symptoms.

Cause

Discuss the cause of your corneal abrasion with your doctor. This will help your doctor determine the best course of treatment. Common causes of corneal abrasions include rubbing the eye, contact lens wear, and foreign objects in the eye.

Treatment

Your doctor will discuss the best treatment options for your corneal abrasion. Treatment may include antibiotics, eye drops, or a patch. Your doctor may also recommend that you avoid wearing contact lenses until the abrasion has healed.

Follow-up Care

Your doctor may recommend follow-up care to ensure that the abrasion is healing properly. Follow-up care may include additional eye drops or a follow-up appointment. Be sure to discuss any questions or concerns you may have about follow-up care with your doctor.

Treatment

Antibiotics

Antibiotics are often prescribed to treat corneal abrasions. These medications help to prevent infection and reduce inflammation. Common antibiotics used to treat corneal abrasions include erythromycin, ciprofloxacin, and ofloxacin.

Pain Medications

Pain medications are often prescribed to help reduce the discomfort associated with corneal abrasions. Common pain medications used to treat corneal abrasions include ibuprofen, acetaminophen, and naproxen.

Protective Eye Wear

Protective eye wear is often recommended to help protect the eye from further injury. This may include wearing sunglasses or protective goggles when outdoors or when engaging in activities that may cause further damage to the eye.

Surgery

In some cases, surgery may be necessary to repair the damage caused by a corneal abrasion. This may include suturing the cornea or using a laser to seal the wound. Surgery is typically only recommended in cases where the abrasion is severe or if the patient is at risk of developing an infection.

Drugs & Medications

Drugs Used to Treat Corneal Abrasion

The most common drugs used to treat corneal abrasion are antibiotics, such as ciprofloxacin, ofloxacin, and moxifloxacin. These antibiotics help to reduce the risk of infection and speed up the healing process. In addition, corticosteroids, such as prednisolone, may be prescribed to reduce inflammation and pain. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may also be used to reduce pain and inflammation.

Other Treatments for Corneal Abrasion

In addition to medications, other treatments may be used to treat corneal abrasion. These include the use of eye drops, such as artificial tears, to reduce discomfort and lubricate the eye. In some cases, a patch may be placed over the eye to protect it from further injury. In severe cases, surgery may be necessary to repair the cornea.

Conclusion

Corneal abrasion is a common eye injury that can cause pain, redness, tearing, and blurred vision. Treatment typically involves the use of antibiotics and other medications to reduce inflammation and pain. In addition, other treatments, such as eye drops and patches, may be used to reduce discomfort and protect the eye from further injury. In severe cases, surgery may be necessary to repair the cornea.

Diet

Foods to Eat

When recovering from a corneal abrasion, it’s important to eat a balanced diet that includes plenty of fruits and vegetables. These foods are rich in antioxidants, which can help reduce inflammation and speed up the healing process. Additionally, foods high in omega-3 fatty acids, such as salmon, tuna, and walnuts, can help reduce inflammation and promote eye health.

It’s also important to get enough protein, as this helps the body repair and rebuild damaged tissue. Good sources of protein include lean meats, eggs, and legumes. Additionally, foods high in vitamin A, such as carrots, sweet potatoes, and spinach, can help promote eye health.

Foods to Avoid

When recovering from a corneal abrasion, it’s important to avoid foods that can irritate the eyes. This includes spicy foods, citrus fruits, and processed foods. Additionally, it’s important to avoid alcohol, as this can cause dehydration and slow down the healing process.

It’s also important to avoid foods that can cause inflammation, such as fried foods, processed meats, and refined carbohydrates. Additionally, it’s important to limit your intake of sugar, as this can weaken the immune system and slow down the healing process.

Conclusion

Corneal abrasions can be painful and uncomfortable, but with the right diet, you can speed up the healing process. Eating a balanced diet that includes plenty of fruits and vegetables, omega-3 fatty acids, and protein can help reduce inflammation and promote eye health. Additionally, it’s important to avoid foods that can irritate the eyes, such as spicy foods, citrus fruits, and processed foods. By following these dietary tips, you can help ensure a speedy recovery from a corneal abrasion.

Lifestyle

Wear Protective Eyewear

Wearing protective eyewear is one of the best ways to prevent corneal abrasions. This includes wearing safety glasses or goggles when working with tools or participating in sports. It is also important to wear sunglasses when outdoors to protect your eyes from the sun’s UV rays and from dust and debris.

Avoid Rubbing Your Eyes

Rubbing your eyes can cause further irritation and damage to the cornea. If your eyes are itchy or irritated, try using artificial tears or a cold compress to soothe them. If the irritation persists, contact your doctor.

Clean Your Contact Lenses Properly

If you wear contact lenses, it is important to clean them properly. Always use fresh solution and never reuse old solution. Also, never sleep in your contact lenses and replace them as recommended by your doctor.

Avoid Swimming in Contaminated Water

Swimming in contaminated water can increase the risk of corneal abrasion. If you plan to swim in a pool or lake, make sure it is properly maintained and chlorinated. Also, avoid swimming in water that is cloudy or has debris in it.

See Your Doctor Regularly

If you have a history of corneal abrasion, it is important to see your doctor regularly for check-ups. Your doctor can check for any signs of infection or further damage to the cornea. They can also provide advice on how to reduce the risk of corneal abrasion.