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Corneal abrasion

Key sources
The following summarized guidelines for the management of corneal abrasion are prepared by our editorial team based on guidelines from the College of Optometrists (CO 2022), the American Academy of Ophthalmology (AAO 2019), the American Academy of Family Physicians (AAFP 2013), and the Wilderness Medical Society (WMS 2012).
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Guidelines

1.Medical management

Topical antibiotics
As per CO 2022 guidelines:
Offer antibiotic prophylaxis with an agent effective against Gram-negative organisms, such as a quinolone (levofloxacin or moxifloxacin) or an aminoglycoside (gentamicin) in contact lens wearers. Advise not to wear contact lenses during the treatment period.
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Offer a broad-spectrum topical antibiotic (such as chloramphenicol 0.5%) if there is a possibility of infection.
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More topics in this section

  • Topical anesthetics

  • Topical NSAIDs

  • Cycloplegics and mydriatics

  • Systemic analgesics

2.Nonpharmacologic interventions

Eye protection: as per CO 2022 guidelines, counsel on suitable eye protection in patients with corneal abrasion.
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More topics in this section

  • Eye patching

  • Therapeutic contact lenses

  • Ocular lubricants