Corneal abrasions March 2018 | by EMauthor •Present with foreign body sensation, eye discomfort and photophobia •Examine the cornea with fluorescein stain under ultraviolet light •Assess the extent and the depth of the abrasion Treatment •Treat with chloramphenical eye cream 4 hourly for 4 days •Eye pad can help, keeping the eyelids closed promotes healing •Control pain with analgesia and cycloplegic or similar (cyclopentolate 1% eye drops) •Never prescribe local anaesthetic drops as they delay healing •Can be discharged, will need ophthalmic follow up if still painful after 72 h |
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