Corneal Abrasion and Ulceration

Christie Racine, MD and Christine S. Persaud, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Corneal abrasions: result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, ...

DIAGNOSIS

HISTORY

Corneal abrasion is a clinical diagnosis. It includes a history of recent ocular trauma and acute pain. Other symptoms include photophobia, pain with extraocular muscle movement, exce...

TREATMENT

GENERAL MEASURES

  • Most complicated corneal abrasions heal in 24 to 48 hours

  • May not require follow up if lesion is >4 mm, uncomplicated abrasion, normal vision, and resolving symptoms

  • Patchin...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Most uncomplicated corneal abrasions heal in 24 to 48 hours.

  • Follow-up not necessary for small (≪4mm), uncomplicated abrasions, normal vision, an...

REFERENCES

Wilson  SA, Last  A. Management of corneal abrasion. Am Fam Physician.  2004;70(1):123–128. [View Abstract on OvidInsights]
Belknap  EB. Corneal emergencies. Top Companion Anim Med. ...

CODES

ICD10

  • S05.00XA Inj conjunctiva and corneal abrasion w/o fb, unsp eye, init

  • H16.009 Unspecified corneal ulcer, unspecified eye

  • H16.049 Marginal corneal ulcer, unspecified eye

  • H16.019 Central corneal ...

CLINICAL PEARLS

  • Contact lenses use should be discontinued until corneal abrasion or ulcer is healed and pain is fully resolved.

  • Eye patching is not recommended.

  • Prescribe topical and/or oral analgesic m...

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