Recurrent corneal erosion syndrome involves the corneal epithelium and epithelial basement membrane. This can cause moderate to severe eye pain, sensitivity to light, tearing, and corneal scarring leading to visual changes.
- Antibiotics and pain relievers. For painful episodes, an antibiotic ointment, such as erythromycin or bacitracin, is recommended to prevent bacterial infection. Oral NSAIDs, such as ibuprofen, can help with pain. Those with severe pain may be prescribed oral narcotics such as hydrocodone. Antibiotics and NSAIDs also are appropriate for chronic cases of recurrent corneal erosion.
- Punctal occlusion. For chronic dry eye patients, punctal occlusion may be performed.
- Bandage soft contact lens. Patients who are unresponsive to lubrication or have large erosions may benefit from an extended-wear bandage soft contact lens (BCL), such as Air Optix Night & Day, with antibiotic drops throughout the day.
- Combination therapy. A combination therapy of topical lubrication, oral tetracyclines, and a topical corticosteroid can be effective.
- Nighttime application of Refresh PM or Lacri-Lube, or Muro 128 ointment. For recovering patients whose epithelium is healing, we recommend bland ointment to prevent surface aggravation.