Get Out of a Scrape! An Approach to Corneal Foreign Bodies and Abrasions for the Primary Care Physician

Abstract

Work-related injuries (WREIs) to the eye are common. Many are minor but, if not treated quickly, can lead to vision-threatening complications. Others are severe, but even with expert management sight can be lost. This article promotes an understanding of the physician’s role in the prevention, assessment, and treatment of WREIs. By far the most common WREIs are corneal foreign bodies (CFBs) and abrasions, which this article primarily focuses on. Foreign bodies (FBs) visualized under slit lamp microscopy can be removed with a moistened cotton tip or bent 25-gauge needle followed by antibiotic and tetanus prophylaxis. Pain associated with corneal abrasions can interfere with daily functions including return to work. Adequate pain relief may be achieved using oral nonsteroidal anti-inflammatories. Patching is not recommended because it does not improve comfort and may impair healing. Non-complicated CFBs need only to be seen once by an ophthalmologist 4-6 days after the initial presentation.