Q. I am getting recurrent corneal abrasion. What should I do to prevent it?

Answered by
Dr. Prashant Shukla
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 29, 2020

Hello doctor,

I am 26 years old. I got scratch in my cornea (eye) due to nail, basically corneal abrasion. I have got this a month ago and got treated. Now it occurs again. What I should do?

Dr. Prashant Shukla

Ophthalmology (Eye Care)
#

Hi,

Welcome to icliniq.com.

Corneal abrasion usually occurs due to a trivial or serious injury to the cornea. It should be treated immediately to avoid a more serious sight threatening complication like corneal ulcer.


The Probable causes:

Injury to the eye.

Investigations to be done:

Test for dry eyes should also be performed for recurrent corneal abrasions.

Treatment plan:

Corneal abrasion can be best treated by administration of Vigamox (Moxifloxacin hydrochloride) eye drop one drop every two hourly and Systane eye drops every two hourly (difference between the two eye drops is approximately five minutes). Application of Panthegel eye ointment (Dexpanthenol) along with Zymar (Gatifloxacin) eye ointment at bedtime. It is a good idea to patch the eye for the whole day with a sterilized eye pad to avoid any dust and minimize the blinking rate for an effective and speedy recovery of the abrasion. Avoid cleaning the eye with water, or any unsterilized cloth or whatsoever. If the condition is associated with pain and redness Homide (Homatropine hydrobromide) eye drop once daily along with anti-inflammatory tablets like Combiflam, etc., can be taken twice daily for three days. If the condition does not improve in three days you should consult an ophthalmic consultant for proper examination and treatment of the pathology. Use of contact lenses to be avoided at all times.

Preventive measures:

Avoid use of water. Patching of the eye with sterilized eye pad for the whole day. Avoid use of contact lenses and eye cosmetics. Use of topical steroids should be avoided at all times.

Regarding follow up:

If the problem does not improve in three days proper slit lamp examination of the eye should be done by a trained ophthalmic surgeon.


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