Corneal abrasions account for 10% of all ocular complaints, and are the most common cause of ocular trauma (Alotaibi 2011, Bhatia 2013). The diagnosis of corneal abrasions typically involves fluorescein staining of the eye and visualization of the abrasion via slit lamp exam. This review focuses specifically on pain control for corneal abrasions.
Although corneal abrasions typically heal within 24-72 hours without complications, the pain in the acute phase is usually significant (Wilson 2004). Treatments described include patching, topical anesthetics, topical NSAIDS, cycloplegics or oral analgesics. Utilization of topical anesthetics has been described in a previous post. Oral analgesics are usually prescribed as a rescue modality when topical treatment is ineffective at managing pain. Read more →