Not all corneal abrasions are managed the same way. The mechanism of injury is a key factor in determining the appropriate approach — particularly whether the cause involved contact lens wear or organic plant matter, which carry distinct infection risks.
This protocol applies to corneal abrasion where the mechanism of injury does not involve contact lens wear or organic plant matter — such as blunt trauma, fingernail injury, dust, or foreign body impact.
Management begins with removal of any corneal foreign body if present, followed by topical antibiotic prophylaxis. Additional measures may be indicated depending on the patient's level of pain and the presence of associated findings such as traumatic iritis. The complete agent selection, formulation options, and clinical algorithm are available in the full protocol.
Improvement at follow-up in 24 to 48 hours; most corneal abrasions heal within 2 to 3 days.