How to Treat Small Corneal Abrasions

Patient presented with eye watering, pain, and burning, which occurred after taking out contact lens. Small corneal abrasions without significant loss of epithelial tissue generally heal quickly.

  1. A bandage contact lens is more effective with pain management than opioids and dilation.
  2. Topical antibiotics every 4 hours. Ocuflox, moxifloxacin, Polytrim are good choices.
  3. Artificial tears every 2 hours. These promote epithelial repair and provide relief from discomfort. 
  4. Dilating drops. This can help with inflammation and discomfort. However, as noted above, a bandage contact lens is preferable.
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