Diagnosis and treatment

Treatment for corneal abrasion

Treatment generally involves a thorough examination of your eye and lids, to check for any trapped foreign body or grit and ensure there is no serious eye injury, followed by drops or ointment and, sometimes, an eye pad. If you are given an eye pad, you will need to keep it on for between 12 and 24 hours; if you find this uncomfortable, you can take it off and use sunglasses instead.

Anaesthetic drops are only given to numb your eye to help with your examination. They are not prescribed to take home as they will slow corneal healing if used regularly. Please remember that the pain will come back once the anaesthetic has worn off, usually after 20 to 60 minutes. 

You should also note the following:

  • You may take ordinary pain killers, such as paracetamol, to help with the pain
  • Avoid rubbing or touching your eye
  • If you wear contact lenses, don’t use them until your eye is completely healed; you need to see your contact lens practitioner after finishing treatment for your abrasion before you wear your contact lenses again

If you are asked to use drops or ointments, please follow these steps:

  • Lie down, or lean your head back, and look up
  • Use a clean finger to gently pull down your lower eyelid to create a pocket
  • If you are using eye drops, gently squeeze them into the pocket you have created, not directly onto your eye
  • If you are using ointment, apply a small strip into the pocket
  • Blink to spread the medication over your eye

video transcript

Before putting in your eyedrops, first check that the drops are still in date.

If you were using a new bottle of eyedrops also check that the seal is not broken make sure you're putting the correct drops into the correct eye.

Let the correct time to instill your drops. Place a clean tissue on a flat surface wash your hands thoroughly with soap and water invert the bottle two or three times to ensure the contents are evenly mixed together.

Remove the lid and place it on the tissue tilt your head back, pull down your lower lid and form a small pocket. Make sure that the tip of the bottle does not come into contact with your skin or eyelashes as it might contaminate the drops.

Look up and gently squeeze the bottle so that a single drop falls into the pocket made by your lower lid.

Blink the drops in press lightly on the inner corner of your eye this enables more of the drop to be absorbed and not run away down your tear duct.

Wipe any excess fluid from your closed eyelids with a clean tissue.

Recap your drop bottle if you have more than one drop to instill. Wait at least 5 minutes before putting in another drop.

Wash your hands with soap and water to remove any traces of medication.

If you have any problems please contact our nurse led helpline service Moorfields Direct on 0207 566 2345

Sometimes, though it feels as if the abrasion had healed, you can wake up in the morning several weeks or months following with a feeling that the discomfort from the abrasion has returned. If this happens, don’t panic, but re-attend to see your consultant or to the A&E department where they will treat you for this recurrent abrasion as before but might also give you lubricant eye ointment for use at night.

If your eye becomes increasingly red or painful, your sight becomes more blurred or you develop very noticeable and spreading redness together with a lot of swelling of the eyelids, you must contact the Practice Manager of your consultant or visit A&E at Moorfields Eye Hospital, 162 City Road, London EC1V 2PD. Remember though that if your consultant or nurses put in pupil dilating (enlarging) drops, your sight will normally be blurred for 12-24 hours after these were put in.

Corneal abrasion treatment is available at Moorfields Private

You can self-fund or use private medical insurance to fund your treatment.

View Moorfields Private