Therapeutic contact lens as the primary treatment for traumatic corneal erosions

Isr Med Assoc J. 2004 Jan;6(1):28-9.

Abstract

Background: Corneal erosions, a common and very painful ailment, are traditionally treated with pressure patches and antibiotic ointment but the healing is slow.

Objectives: To report our experience with the use of therapeutic contact lenses for the primary treatment of traumatic corneal erosions.

Methods: During the last 5 years in a single community clinic 65 consecutive patients with traumatic corneal erosions were treated with a corneal contact lens and antibiotic drops as a routine measure. The charts were reviewed for outcome, side effects and complications.

Results: Healing of the corneal erosions occurred within 1 to 3 days in all patients, with minimal or no pain. No corneal infection occurred. One patient had a recurrence that was successfully treated by lens placement.

Conclusions: The therapeutic contact lens with antibiotic drops is a safe and effective method to treat traumatic corneal erosions, and patients can immediately resume their regular activities.

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Combined Modality Therapy
  • Contact Lenses, Hydrophilic / standards*
  • Corneal Injuries*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Ophthalmic Solutions
  • Pain / etiology
  • Photophobia / etiology
  • Recurrence
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Wound Healing
  • Wounds, Penetrating / complications
  • Wounds, Penetrating / therapy*

Substances

  • Anti-Bacterial Agents
  • Ophthalmic Solutions