Corneal abrasion - Revision history

Danbot: Add MedicationDose entries (cyclopentolate, ketorolac ophthalmic, tetracaine) with SMW annotations

2026-03-20T18:42:12Z

Add MedicationDose entries (cyclopentolate, ketorolac ophthalmic, tetracaine) with SMW annotations

@@ Line 68: / Line 68: @@
 *[[Tetanus prophylaxis]] not indicated (unless penetrating injury)<ref>Mukherjee P, et al. Tetanus prophylaxis in superficial corneal abrasions. Emerg Med J. 2003; 20:62-64.</ref>
 *Patch is not routinely recommended<ref>Flynn CA, et al. Should we patch corneal abrasions? A meta-analysis. J Fam Pract. 1998; 47(4):264-70.</ref> and can prolong healing time<ref>Fraser, S. Corneal abrasion. Clin Ophthalmol. 2010; 4:387-390.</ref>
 ==Disposition==

2024-05-29T19:53:52Z

Clinical Features

← Older revision		Revision as of 19:53, 29 May 2024
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	==Clinical Features==		==Clinical Features==
			[[File:Airbag-corneal-abrasion1.png\|thumb\|Corneal Abrasions from Airbag Deployment]]
			[[File:Airbag-corneal-abrasion2.png\|thumb\|Corneal Abrasions from Airbag Deployment]]
	*Foreign body sensation		*Foreign body sensation
	*Photophobia (+/- consensual)		*Photophobia (+/- consensual)
Line 11:		Line 13:
	**Relief of [[eye pain\|pain]] with topical anesthesia		**Relief of [[eye pain\|pain]] with topical anesthesia
	***Virtually diagnostic of corneal abrasion		***Virtually diagnostic of corneal abrasion
	~~[[File:Airbag-corneal-abrasion1.png\|thumb\|Corneal Abrasions from Airbag Deployment]]~~
	~~[[File:Airbag-corneal-abrasion2.png\|thumb\|Corneal Abrasions from Airbag Deployment]]~~

	==Differential Diagnosis==		==Differential Diagnosis==

2024-05-29T19:44:46Z

← Older revision		Revision as of 19:44, 29 May 2024
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	*Ophtho follow up in 48h for routine cases		*Ophtho follow up in 48h for routine cases
	*Minor abrasions will heal in 48-72h		*Minor abrasions will heal in 48-72h

			==See Also==
			*[[Eye Algorithms (Main)]]

			==External Links==

	==References==		==References==
	<references/>		<references/>

	~~==See Also==~~
	*[[Eye Algorithms (Main)]]

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

2024-05-29T16:48:18Z

Background

← Older revision		Revision as of 16:48, 29 May 2024
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	==Background==		==Background==
			[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*Must rule-out intra[[ocular foreign body]] and corneal laceration		*Must rule-out intra[[ocular foreign body]] and corneal laceration

2021-08-28T12:25:28Z

Corneal abrasion vs. corneal ulcer

@@ Line 48: / Line 48: @@
 **Worsening symptoms >1day
-===[[Corneal abrasion]] vs. [[corneal ulcer]]===
+{{Corneal abrasion vs ulcer}}
 ==Management==

2021-08-28T12:24:53Z

Corneal abrasion vs. corneal ulcer

← Older revision		Revision as of 12:24, 28 August 2021
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	===[[Corneal abrasion]] vs. [[corneal ulcer]]===		===[[Corneal abrasion]] vs. [[corneal ulcer]]===
	{\| {{table}}		{\| {{table}}
	\| align="center" style="background:#f0f0f0;"\|'''~~Charateristic~~'''		\| align="center" style="background:#f0f0f0;"\|'''Characteristic'''
	\| align="center" style="background:#f0f0f0;"\|'''[[Corneal abrasion]]'''		\| align="center" style="background:#f0f0f0;"\|'''[[Corneal abrasion]]'''
	\| align="center" style="background:#f0f0f0;"\|'''[[Corneal ulcer]]'''		\| align="center" style="background:#f0f0f0;"\|'''[[Corneal ulcer]]'''
	\|-		\|-
	\| History\|\|Acute pain immediately after injury\|\|Delayed pain frequently 2-3 days or more after initial event		\| '''History''''\|\|Acute pain immediately after injury\|\|Delayed pain frequently 2-3 days or more after initial event
	\|-		\|-
	\| Lesion viewable on fluorescein exam\|\|Yes\|\|Yes		\| '''Lesion viewable on fluorescein exam'''\|\|Yes\|\|Yes
	\|-		\|-
	\| Lesion viewable on white light exam\|\|No\|\|Yes		\| '''Lesion viewable on white light exam'''\|\|No\|\|Yes
	\|-		\|-
	\| Lesion morphology\|\|Frequently linear, punctate, patterned, and/or irregular\|\|Commonly circular		\| '''Lesion morphology'''\|\|Frequently linear, punctate, patterned, and/or irregular\|\|Commonly circular
	\|}		\|}

2021-08-28T12:24:18Z

Evaluation

@@ Line 47: / Line 47: @@
 **Grayish white lesion
 **Worsening symptoms >1day
 ==Management==

2021-08-03T17:30:39Z

Evaluation

← Older revision		Revision as of 17:30, 3 August 2021
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	**Fluorescein will fill corneal defects and glow		**Fluorescein will fill corneal defects and glow
	**Multiple vertical abrasions suggests foreign body embedded under the upper lid		**Multiple vertical abrasions suggests foreign body embedded under the upper lid
			*Topical anesthetic (ie proparacaine or tetracaine) may assist in patient cooperation with exam once open globe excluded.
			**Repeated doses or Rx for topical anesthesia is controversial given concerns for impaired healing

	===Additional Considerations===		===Additional Considerations===
	*[[contact lens problems\|Contact lens]] wearer		*[[contact lens problems\|Contact lens]] wearer
	**If white spot or opacity on exam concerning for infiltrate or ~~ulceration~~ refer for same day ophtho appt		**If white spot or opacity on exam concerning for infiltrate or [[Corneal ulcer]] refer for same day ophtho appt
	*Fluorescein Examination		*Fluorescein Examination
	**Seidel sign (streaming of fluorescein) indicates [[Globe rupture\|penetrating trauma]]		**Seidel sign (streaming of fluorescein) indicates [[Globe rupture\|penetrating trauma]]

2021-03-03T11:52:49Z

Analgesia

← Older revision		Revision as of 11:52, 3 March 2021
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	*Topical anesthetics		*Topical anesthetics
	**[[Tetracaine]] 1% 1 drop q30min has been found to be safe in the first 24 hrs<ref>Waldman N, et al. Topical tetracaine used for 24 hours is safe and rated highly effective by patients for the treatment of pain caused by corneal abrasions: a double-blind, randomized clinical trial. Acad Emerg Med. 2014; 21(4):374-82.</ref>		**[[Tetracaine]] 1% 1 drop q30min has been found to be safe in the first 24 hrs<ref>Waldman N, et al. Topical tetracaine used for 24 hours is safe and rated highly effective by patients for the treatment of pain caused by corneal abrasions: a double-blind, randomized clinical trial. Acad Emerg Med. 2014; 21(4):374-82.</ref>
			**Proparacaine 0.05% ophthalmic (dilute 1 mL of proparacaine 0.5% with 9 mL of NS in flush syringe then place 3 mL in bottle) 1-2 drops in eye Q30 min PRN pain for 24-48 hours only<ref>Salim Rezaie, "Topical Anesthetic Use on Corneal Abrasions", REBEL EM blog, April 21, 2014. Available at: https://rebelem.com/topical-anesthetic-use-corneal-abrasions/.</ref>

	===Other===		===Other===

2019-10-05T17:02:52Z

Additional Considerations

← Older revision		Revision as of 17:02, 5 October 2019
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	*Pupil shape and reactivity		*Pupil shape and reactivity
	**Irregular or nonreactive pupil suggests pupillary sphincter injury and possible penetrating trauma		**Irregular or nonreactive pupil suggests pupillary sphincter injury and possible penetrating trauma
	*[[Traumatic hyphema\|Hyphema]] or hypopyon		*[[Traumatic hyphema\|Hyphema]] or [[hypopyon]]
	**Hyphema suggests possible penetrating injury		**Hyphema suggests possible penetrating injury
	**If present then same same-day ophtho consult is required		**If present then same same-day ophtho consult is required