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