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Corneal Abrasion


What is a Corneal Abrasion?

A corneal abrasion is a scratch or injury to the cornea, the clear, protective outer layer of the eye. Even a minor scratch can cause discomfort, redness, and sensitivity to light. These abrasions can result from contact with foreign objects, accidental pokes, or improper contact lens use. Prompt treatment is essential to prevent infection and support proper healing of the eye’s delicate surface.


Causes of Corneal Abrasion

  • Corneal abrasion occurs when the eye’s outer layer (cornea) gets scratched or damaged.
  • Common causes include foreign objects like dust, sand, or metal particles entering the eye.
  • Rubbing the eye vigorously can cause scratches.
  • Contact lens misuse, such as wearing damaged or dirty lenses, often leads to abrasions.
  • Eye injuries from fingernails or branches during outdoor activities are frequent causes.
  • Accidental trauma or chemical exposure can also damage the cornea.


Symptoms of Corneal Abrasion

  • Sudden sharp pain or discomfort in the eye
  • Sensation of a foreign body or something gritty in the eye
  • Redness and irritation around the eye
  • Excessive tearing or watery eyes
  • Sensitivity to light (photophobia)
  • Blurred or decreased vision
  • Eye swelling or eyelid twitching
  • Difficulty keeping the eye open due to pain


How to Treat Corneal Abrasion?

  • Immediately rinse the eye with clean water or saline to remove any debris.
  • Avoid rubbing the eye to prevent further damage.
  • Use prescribed antibiotic eye drops or ointment to prevent infection.
  • Apply a cold compress to reduce pain and swelling.
  • Take over-the-counter pain relievers if needed.
  • Avoid wearing contact lenses until fully healed.
  • See an eye specialist promptly for proper diagnosis and treatment.
  • Follow up as advised to ensure complete healing.


When to Seek Medical Attention for Corneal Abrasion

Seek immediate medical attention if you experience persistent eye pain, blurred vision, excessive tearing, or light sensitivity after a possible injury. Deep or infected abrasions can lead to more serious eye problems, including vision loss if left untreated. If symptoms don’t improve within 24 hours or worsen, an eye care professional should evaluate the eye to prevent complications.


Preventing Corneal Abrasions

  • Always wear protective eyewear during activities like sports, construction, or gardening.
  • Avoid rubbing your eyes, especially with dirty hands.
  • Keep contact lenses clean and follow proper hygiene guidelines.
  • Use artificial tears to keep eyes moist and reduce irritation.
  • Maintain a safe environment by removing sharp objects near the eyes.
  • Seek prompt medical attention if you experience eye discomfort or injury.
  • Regular eye check-ups help detect and prevent potential issues early.


Healing Process for Corneal Abrasions

Most minor corneal abrasions heal within 24 to 72 hours with proper treatment. During this time, the eye’s surface regenerates, gradually reducing discomfort and restoring vision. Avoiding contact lenses and following medical advice speeds up recovery. Severe abrasions may take longer and require follow-up visits. Protecting the eye from further injury is key to a smooth and complete healing process.

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