Corneal Abrasion: Symptoms, Treatment, and Recovery Time - Ophthalmology

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Corneal abrasion keratitis


I have a dry, painful, and prickly sensation in the front part of my left eye and part of the eyeball.
When I went to the hospital, the doctor said I had a corneal abrasion.
The doctor told me it would heal in a few days, but it has been a while and I feel no improvement.
The eye drops don't seem to help either.
I read online that corneal abrasions typically heal within one to two days, so is my situation really a corneal abrasion? The dry, painful sensation in the front part of my left eye is quite intense, and I also notice that the amount of tears produced when I yawn with my left eye is significantly less than with my right eye.
Thank you, doctor.

Joyce, 10~19 year old female. Ask Date: 2016/08/06

Dr. Cai Wenyuan reply Ophthalmology


If there is a corneal abrasion, it is advisable to return for a follow-up examination.
Thank you.

Reply Date: 2016/08/06

More Info


Corneal abrasion, commonly referred to as a corneal scratch, is a painful injury to the outer layer of the cornea, which is the clear, protective layer covering the front of the eye. Understanding the symptoms, treatment options, and recovery time is crucial for managing this condition effectively.


Symptoms of Corneal Abrasion
The symptoms of a corneal abrasion can vary in intensity but typically include:
1. Pain and Discomfort: Patients often describe a sharp, stabbing pain in the affected eye. This pain can worsen with blinking or exposure to light.

2. Redness: The eye may appear red and inflamed due to irritation.

3. Tearing: Increased tear production is common as the eye attempts to flush out any irritants.

4. Sensitivity to Light: Photophobia, or sensitivity to light, is a frequent symptom, making it uncomfortable to be in bright environments.

5. Blurred Vision: Vision may be temporarily blurred, especially if the abrasion is significant.

6. Foreign Body Sensation: Many patients report feeling as if there is something in their eye, which can be quite distressing.

In your case, the persistent dry, painful, and stinging sensation in your left eye, along with the reduced tear production compared to your right eye, suggests that you may indeed have a corneal abrasion or another related issue.


Treatment Options
Treatment for a corneal abrasion typically involves the following:
1. Topical Antibiotics: These are prescribed to prevent infection, especially if the abrasion is significant or if there is a risk of foreign material entering the eye.

2. Lubricating Eye Drops: Artificial tears can help alleviate dryness and discomfort. It's important to use preservative-free drops to avoid further irritation.

3. Pain Management: Over-the-counter pain relievers may be recommended to help manage discomfort.

4. Avoiding Contact Lenses: If you wear contact lenses, you should avoid using them until the abrasion has healed completely.

5. Follow-Up Care: Regular follow-up visits with your eye care provider are essential to monitor the healing process and ensure no complications arise.


Recovery Time
Recovery from a corneal abrasion can vary based on the severity of the injury. Most minor abrasions heal within 1 to 3 days, while deeper abrasions may take longer, sometimes up to a week or more. If you have been experiencing symptoms for an extended period without improvement, it is crucial to follow up with your eye doctor. They may need to reassess your condition to rule out complications such as infection or the presence of foreign bodies.


When to Seek Further Help
If your symptoms persist beyond a few days, or if you experience worsening pain, increased redness, discharge, or changes in vision, you should seek immediate medical attention. These could be signs of a more serious condition, such as an infection or a deeper injury to the eye.

In conclusion, while corneal abrasions often heal relatively quickly, your ongoing symptoms warrant further evaluation. It is essential to communicate openly with your healthcare provider about your symptoms and any concerns you have regarding your recovery. They can provide tailored advice and treatment options to ensure your eye heals properly and to alleviate your discomfort.

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