Corneal abrasion: assessment and management

Corneal abrasions result from a superficial lesion to the most anterior aspect of the eye, the corneal epithelium. Patients can present to the GP with an array of symptoms including pain, foreign body sensation, decreased visual acuity/blurring, epiphora (excess watering) and photophobia. Most corneal abrasions are self-limiting and appropriate management can be instituted in the GP surgery. However, some require referral for specialist ophthalmology assessment. This article looks at the assessment and management of corneal abrasions and provides evidence-based guidance for ophthalmology referral.