A series of 3 cases of corneal abrasion with multiple etiologies

作者：Hua Len^*; Doll Tracy

来源：Optometry, 2010, 81(2): 83-85.

DOI：10.1016/j.optm.2009.05.008

• Corneal abrasion
• Bandage contact lens
• Topical antibiotics
• Topical cycloplegics
• Iatrogenesis
• Metal foreign body
• Vegetative foreign body
• Micro-organism culture

BACKGROUND: Most corneal abrasions are caused by mechanical injuries affecting the superficial epithelial layer. Although one of the functions of the eyelid is to protect the eye, its reaction time of about 425 msec is slower than many ocular insults; thus, corneal abrasions are among the most commonly occurring eye emergencies.
CASE REPORTS: Three cases of corneal abrasions with different etiologies are presented. The first case was a large abrasion of the cornea near the visual axis caused by a wood chip. A metal foreign body with rust was lodged in the cornea from metal grinding in the second case. The third case was iatron-genically induced by an A-scan probe while a fellow student was measuring the axial length of the eye.
CONCLUSION: Corneal abrasions are one of the most common ocular conditions presented to eye clinics or emergency departments. Although there are different etiologies of abraded corneal epithelium, current clinical management for most corneal abrasions involves a bandage contact lens, use of topical antibiotics, and cycloplegics. Large and central corneal abrasions, however, warrant a consultation with a corneal specialist. Optometry 2010;81:83-85

• 出版日期2010-2