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1. What is a corneal abrasion?: A corneal abrasion is a superficial scratch on the clear, protective "window"
at the front of your eye (cornea)
2. A patient complains of repeated corneal abrasions occurring in the mornings
upon awakening and chronic dry eyes, what should you consider?: Sjögren syndrome.
This condition causes dysfunction in tear production and is predominantly seen in females.
3. Signs and symptoms of corneal abrasion: Signs and symptoms of corneal abrasion include:
ÏTearing eye
ÏRed/painful eye
ÏPain goes away w/ ophthalmic analgesic drops
4. Diagnosis of corneal abrasion?: Record visual acuity, slit lamp/wood's lamp with fluorescein stain
exam will reveal epithelial detect +/- foreign body
5. Management of corneal abrasion/foreign body: 1. Check visual acuity
2. For surface foreign bodies, irrigation or removal with a damp, cotton-tipped swab or a small needle
3. Do NOT patch (if large or contact wearers)
4. Antibiotic drops
5. F/u with ophthalmology in 24 hours
6. Contact lens wearers with corneal abrasions require an antibiotic with what
specific coverage?: Contact lens wearers with corneal abrasions require an antibiotic with optimal an-
tipseudomonal coverage (eg, ciprofloxacin 0.3% ointment 4 times a day)
7. How long does it take a corneal abrasion to heal?: Most corneal abrasions heal in 24 to 72
hours and rarely progress to corneal erosion or infection.
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