Corneal abrasion is a defect in the outer layer of the cornea which is called the epithelial layer. This defect is either a full thickness which involves all the thickness of epithelial layer or just partial thickness. It can be also small or large defects.
There is a difference of corneal ulcer and abrasions. Corneal ulcer will involve the basement membrane and the underneath layer which is corneal stroma while the abrasion won’t involve the basement membrane.
Causes
1- Dry Eyes.
2- Contact lenses. Overuse, tight contact lens or infection which usually starts as abrasions with epithelial defects.
3- Trauma.
4- Blepharitis.
5- Infection.
6- Foreign body.
Signs and symptoms
1- Pain.
2- Blepharospasm.
3- Photophobia or light sensitivity.
4- Excessive tearing.
5- Blurred vision.
Large abrasion in the center of cornea. Cornea is hazy in the center.
Small abrasion can be seen better with the add of fluorescein stain and view it under blue light.
Treatments
1- Removal or treatment of the causative factor.
A- If the cause is contact lens, remove it and use artificial tears with antibiotics ointments. Don’t wear your contact lens more than 8 hours during the day and don’t wear them overnight or during sleep.
B- Tight Contact lenses. Change the type or the size of your contact lens.