Corneal Abrasion

A corneal abrasion refers to a break in the outermost surface of the eye the “cornea” – similar to a graze on the skin.

As the cornea is extremely densely innervated with nerves it means that corneal abrasions are typically very painful. Other symptoms include redness, pain, watering and photophobia ( sensitivity to light ) Vision may be mildly reduced if the insult is in the central line of vision.

These surface defects can be very hard to see with the naked eye but can be easily seen with the optometrist’s specialist equipment “microscope”. After fluorescein drops are inserted into the eye and viewed under a cobalt blue light any abrasions will stain brightly as fluorescent green through the microscope.

Corneal abrasions tend to be secondary to trauma (eye pokes, gusts of wind, changing contact lenses) or foreign bodies. False eye lashes can cause eye corneal scratches if a fake eye lash irritates the cornea or if the glue thickens and falls into the eye.

If you a have a painful scratched eye you should see your eye specialist urgently. It is important to check if any foreign body is present that will need removing. Eye lubricants will make the eye more comfortable and help healing. Antibiotics may be prescribed to reduce the risk of infection. Contact lenses should be avoided until the abrasion has healed

If the corneal abrasion is large and the vision reduced you may need to be referred for review by an ophthalmologist.

Our view

If you feel you may have something in your eye or it may be scratched it is important to see you eye specialist urgently to ensure the best possible chance of healing and preventing any scarring of the cornea, loss of vision and long term complications.

At Jaysons Opticians, our specialist optometrists are trained and accredited to provide this service. Under the CUES scheme such examinations are covered by the NHS provided that you are registered with a Derbyshire GP.

Article written by

Mr K.Lakhani BSC MCOptom Dip Tp Ip

Specialist Optometrist.

Take your eyes to someone you trust.

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