Skip to content
Back to top
Corneal Blunt Trauma
- Is usually not sight-threatening injury.
- Symptoms: acute blurry vision, foreign body sensation, photophobia or ocular pain.
- May be isolated or associated with bruising or swelling of surrounding ocular tissues
- Mild blunt trauma may cause epithelial disruption without stromal or endothelial damage
- Severe blunt trauma may cause endothelial damage, Descemet's membrane tears with resulting severe corneal edema or laceration
- Thorough eye examination includes dilated fundus examination to rule out intraocular foreign body and damage to intraocular structures.
- Seidel test to rule out open globe injury.
- Exam under general anesthesia may be necessary for exploration and/or repair of suspected rupture globe.
- Eye patch or bandage contact lens for corneal abrasion.
- Prophylactic topical antibiotics.
- Topical steroids may be useful in cases of significant inflammatory reaction.
- Hypertonic saline or 5% NaCl ointment or drops to resolve corneal edema.