Corneal anterior stromal needle puncture is useful for recurrent corneal erosions from trauma that recur in the same location. The goals of pharmacotherapy are to reduce morbidity and to prevent complications. Hyperosmolar agents - Create osmotic gradient that draws water out of the cornea. Contraindications Documented hypersensitivity Interactions None reported Pregnancy C - Safety for use during pregnancy has not been established. Lubricating hypertonic saline or bland ointment at bedtime is often helpful to prevent recurrent erosions.
Recurrent erosions predispose the cornea to infection.
The great majority of patients are able to maintain sufficient vision and comfort for reading, driving, and other visual tasks, except during episodes of corneal erosions. They may have an episode of pain and poor vision the day of their wedding or of an important presentation after being asymptomatic for weeks or months. Physicians need to understand this important concern. Best seen with broad illumination beam. Cluster of corneal dots.