Topical Pain Relief for Corneal Abrasion – A Systematic Review
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Topical NSAIDs improved pain from corneal abrasion. The jury is out on other options per this review.
Ophthalmology
Topical Tetracaine for Corneal Abrasions
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Short-term use of topical tetracaine for uncomplicated corneal abrasions was associated with significant pain reduction and decreased need for opioid medications, with no difference in wound healing or serious complications. However, larger studies are needed to definitively demonstrate safety and rule out rare adverse events.
You Glued the Eye Shut – What Now?
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If you accidentally glue someone’s eye shut, soaking the eye in dexamethasone, polymyxin B, neomycin antibiotic drops was most effective at loosening histoacryl tissue adhesive.
You’ll Shoot Your Eye Out, Kid – Really!
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style=”white-space:pre-wrap;”>The rate of non-powder firearm (i.e. BB, airsoft, paintball) injuries has decreased overall in the past few decades, but eye injuries have increased – many of the them quite severe.
Time to Take an Ax to the Wood’s Lamp?
The overall sensitivity of the Wood’s lamp, compared to the gold standard slit lamp, to establish the diagnosis of common corneal and conjunctival abnormalities was found to be an abysmal 52%.
Do Topical Antibiotics Help Conjunctivitis?
Topical antibiotic use for bacterial conjunctivitis was associated with improved rate of clinical cure compared to placebo. For early and late clinical cure with topical antibiotics, the NNT was 9 and 11, respectively.
POCUS for Retinal Detachment – Be Careful
In less experienced sonographers, ocular ultrasound for retinal detachment was specific but not sensitive. It’s useful to rule it in, but don’t use it as the sole means to rule it out.
Don’t Rely on CT to Rule Out Open Globe
CT was specific for open globe but not sensitive. The best CT predictors of open globe were change in globe contour and vitreous hemorrhage. Open globe is a clinical or surgical diagnosis. CT alone can’t rule it out.
Tetracaine for Corneal Abrasion
This study found 1% tetracaine for 24 hours appeared to be safe for treating corneal abrasion pain.