Do not patch. The warm, moist environment given by patching may increase the ulcer s growth. Refer to eye clinic or local ophthalmologist if suspected. Refer immediately to ophthalmology. Patient is likely to be admitted and treated with IV antibiotics.
Patient complains of pain, tearing, often has a history of trauma.
Apply antibacterial ophthalmic ointment. Pressure patch injured eye only if necessary for comfort. If you patch the eye, the patient must be seen the following day, even if more extended patching is expected. Many corneal abrasions heal within 24 hours, but all abrasions require careful follow-up care. If fluoroscein staining is present, treat like an abrasion.