Conjunctival abrasion

Background

Conjunctiva has less innervation than cornea so patients are far less symptomatic

Clinical Features

Foreign body sensation
Mild pain
Photophobia (rare)
Subconjunctival hemorrhage (rare)

Differential Diagnosis

Evaluation

Slit-lamp exam with fluorescein
- Seidel test to role-out globe perforation

Management

Remove conjunctival foreign bodies
Erythromycin ointment 0.5% QID x2-3d
Suture of lacerations is almost never required

See Also

Corneal Abrasion and Foreign Body

References

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