The lens helps promote re-epithelialization by protecting the wound against eyelid movement. The lens is kept on until the wound has healed and complete re-epithelialization has occurred. Use of bandage contact lenses renders sutures unnecessary, which is particularly advantageous if the visual axis is involved, and allows for frequent topical medication application. However, a contact lens should be used only when the wound is well apposed. For poorly apposed wounds, or if tissue is missing, 10-0 nylon sutures are placed in an operating room and systemic antibiotics are begun.
Most corneal lacerations require the placement of corneal sutures by the ophthalmologist.
Generally, surgical repair is performed in the operating room under general anesthesia. Many techniques are used. The characteristics and location of the laceration are important factors. Surgery is performed as soon after injury as possible, and the patient is generally placed on intravenous antibiotics. For a few lesions, other forms of treatment may suffice.