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Corneal abrasions are a result of trauma to the surface of the eye. Injuries can be caused by foreign bodies or by contact lens insertion and removal. Beware the possibility of a corneal ulcer in contact lens wearers. Ask about the use of power tools and consider the possibility of an intraocular foreign body if high velocity.
If the presence of a corneal foreign body is confirmed, mechanically flush out irritants or foreign bodies with sterile eye irrigation solutions (Tear deficiency, ocular lubricants, and astringents)
Advise use of sunglasses for comfort
Consider oral analgesia for pain relief (Non-opioid analgesics and compound analgesic preparations) – please note many analgesic containing products are cheap to buy and are readily available over the counter along with advice from pharmacies.
NB Offer advice on the wearing of safety glasses, to prevent further injury
Specialty: Ophthalmology
Clinic Type: Cornea
Service: DRSS-South Devon & Torbay-Ophthalmology-Optom Only- Devon ICB- 15N
If emergency – send direct to local hospital
This guideline has been signed off by NHS Devon
Publication date: May 2022