Corneal Abrasions and Corneal Foreign Bodies

Prim Care. 2015 Sep;42(3):363-75. doi: 10.1016/j.pop.2015.05.004. Epub 2015 Jul 31.

Abstract

Corneal abrasions and corneal foreign bodies are frequently encountered ophthalmological injuries that are commonly diagnosed and managed by primary care physicians. The clinical course of a corneal epithelial defect can range from a relatively benign self-healing abrasion to a potentially sight-threatening complication such as a corneal ulcer, recurrent erosion, or traumatic iritis. A detailed clinical history regarding risk factors and exposure, along with a thorough slit lamp examination with fluorescein dye are essential for proper diagnosis and treatment, as well as to rule out penetrating globe injuries. Referral to an ophthalmologist is recommended in difficult cases or if other injuries are suspected.

Keywords: Corneal abrasion; Corneal foreign body; Management; Treatment.

Publication types

  • Review

MeSH terms

  • Administration, Topical
  • Anti-Bacterial Agents / therapeutic use
  • Corneal Injuries / diagnosis*
  • Corneal Injuries / therapy
  • Eye Foreign Bodies / complications
  • Eye Foreign Bodies / diagnosis*
  • Eye Foreign Bodies / prevention & control
  • Eye Foreign Bodies / therapy
  • Eye Protective Devices
  • Humans
  • Incidence
  • Occupational Injuries
  • Physical Examination
  • Primary Health Care*
  • Quinolones / therapeutic use
  • Referral and Consultation / organization & administration*
  • Risk Factors

Substances

  • Anti-Bacterial Agents
  • Quinolones