Difference between revisions of "Conjunctival abrasion"

m (Rossdonaldson1 moved page Conjunctival Abrasion to Conjunctival abrasion)
Line 1: Line 1:
 
==Background==
 
==Background==
*Conjunctiva has less innervation than cornea so pts are far less symptomatic
+
*Conjunctiva has less innervation than cornea so patients are far less symptomatic
  
 
==Clinical Features==
 
==Clinical Features==
#Foreign body sensation
+
*Foreign body sensation
#Mild pain
+
*Mild pain
#Photophobia (rare)
+
*Photophobia (rare)
#Subconjunctival hemorrhage (rare)
+
*Subconjunctival hemorrhage (rare)
 +
 
 +
==Differential Diagnosis==
  
 
==Diagnosis==
 
==Diagnosis==
#Slit-lamp exam w/ fluorescein
+
*Slit-lamp exam w/ fluorescein
##Seidel test to role-out globe perforation
+
**Seidel test to role-out globe perforation
  
 
==Treatment==
 
==Treatment==
#Remove conjunctival foreign bodies
+
*Remove conjunctival foreign bodies
#Erythromycin ointment 0.5% QID x2-3d
+
*Erythromycin ointment 0.5% QID x2-3d
#Suture of lacerations is almost never required
+
*Suture of lacerations is almost never required
  
 
==See Also==
 
==See Also==
 
*[[Corneal Abrasion and Foreign Body]]
 
*[[Corneal Abrasion and Foreign Body]]
  
==Source==
+
==References==
Tintinalli
 
  
 
[[Category:Ophtho]]
 
[[Category:Ophtho]]

Revision as of 13:04, 24 May 2015

Background

  • Conjunctiva has less innervation than cornea so patients are far less symptomatic

Clinical Features

  • Foreign body sensation
  • Mild pain
  • Photophobia (rare)
  • Subconjunctival hemorrhage (rare)

Differential Diagnosis

Diagnosis

  • Slit-lamp exam w/ fluorescein
    • Seidel test to role-out globe perforation

Treatment

  • Remove conjunctival foreign bodies
  • Erythromycin ointment 0.5% QID x2-3d
  • Suture of lacerations is almost never required

See Also

References