Ocular trauma
On the night of the 17th at 5 AM, my eye was scratched by a fingernail.
After closing my eyes to sleep, I woke up unable to open them, with continuous tearing and a stinging sensation when blinking.
I sought medical attention at noon, and the doctor prescribed anti-inflammatory medication and ofloxacin eye ointment.
There is a corneal abrasion, but I read that the cornea typically heals within 24 to 48 hours.
Now, on the morning of the 18th at 9 AM, there seems to be no signs of improvement; I still cannot open my eyes and have symptoms of congestion.
Since I am in Japan and it is inconvenient to repeatedly visit an ophthalmology clinic, I would like to know how long it might take for my symptoms to improve enough to use my eyes normally.
Long, 20~29 year old female. Ask Date: 2019/10/18
Dr. Gao Pilin reply Ophthalmology
Hello, regarding corneal abrasions: the healing time depends on the severity of the injury.
Minor abrasions typically heal quickly, while more severe ones take longer.
It's essential to keep the eyes closed to promote healing; if the eyes are constantly blinking, the newly formed cells may shed, hindering recovery.
The best approach is to cover the eye to keep it closed, which not only speeds up recovery but also reduces pain.
If covering the eye isn't possible, then resting with the eyes closed is necessary.
For eye care, you can visit the Ophthalmology Department at Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is advisable to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Best regards,
Gao Pilin
Reply Date: 2019/10/18
More Info
Injuries to the eye, particularly to the cornea, can be quite distressing and often lead to significant discomfort and visual impairment. Based on your description, it seems you have sustained a corneal abrasion from a fingernail scratch, which is a common type of eye injury. The recovery time for corneal abrasions can vary, but generally, superficial abrasions can heal within 24 to 48 hours. However, the healing process can be influenced by several factors, including the severity of the injury, the presence of any underlying conditions, and how well the eye is cared for during recovery.
Given that you are experiencing persistent symptoms such as tearing, pain, and difficulty opening your eye, it is crucial to monitor your condition closely. The fact that you are still experiencing these symptoms after more than 24 hours suggests that the abrasion may be more significant than initially thought, or there may be other factors at play, such as infection or inflammation.
The treatment you received, which includes anti-inflammatory medication and an antibiotic ointment (ofloxacin), is appropriate for managing pain and preventing infection. It’s essential to follow the prescribed treatment regimen closely. If your symptoms do not improve or worsen, it is important to seek further medical attention, even if it means finding a local eye care provider in Japan.
In terms of when you can expect to return to normal vision and activities, many patients find that their symptoms begin to improve within a few days, but complete healing can take longer, especially if there are complications. If the cornea is healing properly, you should start to notice a reduction in pain and tearing, and your ability to open your eye should improve. However, if you continue to experience significant discomfort or if your vision does not improve, it may indicate that the injury is more severe or that there is a secondary issue, such as a corneal infection or scarring.
It is also important to avoid rubbing or putting pressure on the injured eye, as this can exacerbate the injury and prolong recovery. Additionally, protecting your eye from bright lights and wind can help reduce discomfort. Using artificial tears can also help keep the eye lubricated and alleviate some of the irritation.
In summary, while many corneal abrasions heal quickly, individual recovery times can vary. If you do not see improvement in your symptoms within the next day or two, or if you notice any changes in your vision, it is advisable to seek further evaluation from an eye care professional. Your eye health is paramount, and timely intervention can prevent potential complications that may arise from untreated injuries.
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