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Corneal injury

• Overview
• Symptoms
• Treatment
• Prevention

Treatment:

Anyone with severe eye pain needs to be evaluated in an emergency care center or by an ophthalmologist immediately. Simple corneal injuries are treated by removing the foreign material if present, and covering the eye with a patch to let the cornea heal itself. Antibiotic drops or ointments are often used to prevent infection.

DO NOT try to remove a lodged foreign body in the eye without professional assistance. (See first aid for eye emergencies ). The risk of further injury is great. A particle that is large enough to damage the cornea may not be visible without magnification or staining of the eye.

Antibiotic ointment or drops may be prescribed until a corneal abrasion has healed. Getting rest and placing a patch over the affected eye may help. Driving and other potentially dangerous situations should be avoided while the eye is patched, since depth perception is altered.

Any suspicion of a penetrating injury to the eye requires immediate evaluation by an ophthalmologist or emergency physician.

Chemical burns may occur with acids or alkalis splashed in the eye. Many household chemicals are strong acids or alkalis. Drain cleaners and oven cleaners are particularly dangerous. If chemicals are splashed in the eye, the eye should be IMMEDIATELY flushed with tap water for 15 minutes, and the patient should then be rushed to the nearest emergency facility.

Expectations (prognosis):

Superficial corneal injuries normally heal very rapidly with treatment, and the eye should be back to normal within 2 days. Penetrating corneal injuries are much more serious and the outcome will depend on the specific injury.

Complications:

Severe corneal injury may require extensive surgery or even a cornea transplant.

Calling your health care provider:

Call your health care provider if the injury has not significantly improved in 2 days with treatment.

• Review Date: 8/8/2006
• Reviewed By: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA. Review provided by VeriMed Healthcare Network.

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