علاج تآكل القرنية الناجم عن ارتداء العدسات اللاصقة أو إصابة الأظافر أو المواد النباتية العضوية

References

DOI: 10.1016/j.pop.2015.05.004

• If the mechanism of injury to the cornea involves contact lens wear, fingernails, or vegetable/organic plant matter, antibiotic prophylaxis should be provided with topical fluoroquinolone drops (eg, ofloxacin or moxifloxacin) at least 4 times a day, and typically a fluoroquinolone ointment (eg, ciprofloxacin) at night time to provide coverage against gram-negative organisms.
• If corneal foreign body present, then remove.
• For patients complaining of significant pain and discomfort, options for pain relief include oral analgesics such as acetaminophen or nonsteroidal antiinflammatory drugs, topical cycloplegics, and rarely opioid analgesics in severe cases.
• Patients with photophobia and ciliary spasm secondary to traumatic iritis tend to have rapid relief of symptoms with cycloplegics, such as cyclopentolate 1%, 2 to 3 times a day.
• Follow-up in 24 hours. If no improvement, then refer to Ophthalmology.
• Although a majority of corneal abrasions heal within 2 to 3 days without issue, some can potentially develop long-term, sight-threatening complications if treated improperly.