Introduction

Corneal abrasions refer to any defect of the corneal epithelium and most commonly come about from a recent history of local trauma (e.g. finger nail, branches).

Epidemiology

  • Incidence: 300.00 cases per 100,000 person-years
  • Peak incidence: 30-40 years
  • Sex ratio: 1:1
Condition Relative
incidence
Corneal abrasion1
Microbial keratitis0.07
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Common clinical findings include eye pain, photophobia, decreased visual acuity in the affected eye, foreign body sensation and conjunctival injection.

Fluorescein examination typically reveals a yellow stained abrasion (representative of the de-epithelialized surface) which is usually visible to the naked eye.

Management

Treatment with a topical antibiotic is recommended for these patients in order to prevent bacterial superinfection.