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
In summary, patching can lead to harm and should be avoided, while cycloplegics have not been shown to help with pain. Although topical treatment with anesthetics and NSAIDS have traditionally been avoided due to concern for worse outcomes, multiple placebo-controlled randomized controlled trials have demonstrated better patient outcomes without any increased incidence of adverse events in uncomplicated traumatic abrasions presenting to the emergency department if used for only 24-36 hours.
In summary, patching can lead to harm and should be avoided, while cycloplegics have not been shown to help with pain. Although topical treatment with anesthetics and NSAIDS have traditionally been avoided due to concern for worse outcomes, multiple placebo-controlled randomized controlled trials have demonstrated better patient outcomes without any increased incidence of adverse events in uncomplicated traumatic abrasions presenting to the emergency department if used for only 24-36 hours.
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