Corneal Abrasions Flashcards
1
Q
What is a corneal abrasion?
A
Scratches or damage to cornea
-Cause of red, painful eye
2
Q
Cause of corneal abrasion?
A
Contact lenses Eyelashes Entropion Finger nails Foreign bodies
3
Q
If there is an abrasion associated with contacts what could that mean?
A
There may be a pseudomonas infection
4
Q
What is an important DdX to consider in corneal abrasion?
A
Herpes keratitis
This requires antiviral drops
5
Q
Presentation of corneal abrasion?
A
- History of contact lenses or foreign body
- Painful, red eye
- Foreign body sensation
- Blurring vision
- Photophobia
- Watering eye
6
Q
Diagnosis/investigation of corneal abrasion?
A
- Fluorescein stain: this collects in abrasions or ulcers
- Slit lamps examination may be used in more significant abrasions
7
Q
What colour is fluorescein stain?
A
Yellow orange colour
8
Q
Initial management of corneal abrasions?
A
Refer to ophthalmologist for same day assessment
9
Q
Secondary care of corneal abrasion?
A
- Simple analgesia
- Lubricating eye drops
- AB eye drops
- Bring patient back in 1 week
- Cyclopentolate eye drops dilate pupil & improve symptoms (photophobia)
10
Q
How long does a corneal abrasion usually takes to heal?
A
2-3 days
