Conjunctival abrasion

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

Evaluation

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

Management

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

See Also

References