Corneal Injuries: Recovery, Symptoms, and Concerns - Ophthalmology

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Corneal injury


Hello, recently due to work, my eye was hit by a small stone, causing corneal damage.
I saw a doctor three days ago and went for a follow-up today.
It has not fully healed yet, but the doctor said the recovery is going well, just a bit slow.
The initial assessment is that the injury is in the anterior segment.
I would like to ask: 1.
Is it normal for my vision to be blurry at this stage? 2.
Although it is not a penetrating injury, the doctor mentioned there is a little bleeding.
Will this affect the healing process and potentially leave a scar that could impact my vision?

A Cheng, 30~39 year old female. Ask Date: 2017/10/23

Dr. Cai Wenyuan reply Ophthalmology


Hello, corneal injuries can affect vision.
Superficial scars, if healed, generally do not leave a scar.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/23

More Info


Corneal injuries can be quite concerning, especially when they affect your vision. Based on your description, it seems that you have sustained a superficial corneal injury from a small stone, which is not uncommon in various work environments. Let's address your questions one by one.

1. Is it normal to see things blurry?
Yes, experiencing blurred vision after a corneal injury is quite common. The cornea is responsible for focusing light onto the retina, and any damage to its surface can disrupt this process. When the cornea is injured, it may become swollen or develop irregularities, leading to visual disturbances such as blurriness. As your cornea heals, you should gradually notice improvements in your vision. However, if the blurriness persists or worsens, it is essential to follow up with your eye doctor for further evaluation.

2. Will the bleeding affect recovery and leave scars that impact vision?
Minor bleeding in the eye, particularly in the context of a corneal injury, can occur and is often not a cause for alarm. The cornea has a remarkable ability to heal itself, and while some bleeding may complicate the healing process, it does not necessarily mean that you will have permanent damage or scarring. However, if the injury is deeper than initially assessed, or if the bleeding is significant, it could potentially lead to scarring, which might affect your vision in the long term.

Corneal scarring can occur if the injury penetrates deeper layers of the cornea or if there is significant inflammation during the healing process. Scarring can lead to issues such as decreased visual acuity or glare. Your eye doctor will monitor your recovery closely and may perform additional tests, such as a slit-lamp examination, to assess the extent of the injury and the healing process.


Additional Considerations for Recovery:
- Follow-Up Care: It is crucial to attend all follow-up appointments with your eye doctor. They will monitor the healing process and can intervene if complications arise.

- Medications: If prescribed, use any topical antibiotics or anti-inflammatory medications as directed. These can help prevent infection and reduce inflammation, promoting better healing.

- Avoid Eye Strain: Limit activities that may strain your eyes, such as prolonged screen time or reading, until your vision stabilizes.

- Protect Your Eyes: Consider wearing protective eyewear, especially in environments where debris is present, to prevent further injuries.

- Watch for Symptoms: Be vigilant for any worsening symptoms, such as increased pain, redness, or a sudden decrease in vision, and seek immediate medical attention if these occur.

In summary, while blurred vision and minor bleeding are common after a corneal injury, it is essential to monitor your symptoms and maintain regular communication with your healthcare provider. With proper care and monitoring, most corneal injuries heal well without long-term complications.

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