Perioperative Corneal Abrasion: Updated Guidelines for Prevention and Management.
Corneal abrasion is the most common ocular complication in surgery. Treatment requires pain control, antimicrobial prophylaxis, and close monitoring. Pain improves significantly after 24 hours and should be resolved by 48 hours. Persistent, worsening, or new symptoms warrant immediate specialist consultation. The authors review the pathophysiology of perioperative corneal abrasion, and propose updated evidence-based guidelines for improved patient care.
Dallas, Texas.|From the Departments of Plastic Surgery, Anesthesiology, and Ophthalmology, University of Texas Southwestern Medical Center.
Menyoli M
MM
Malafa
Dallas, Texas.|From the Departments of Plastic Surgery, Anesthesiology, and Ophthalmology, University of Texas Southwestern Medical Center.
Jayne E
JE
Coleman
Dallas, Texas.|From the Departments of Plastic Surgery, Anesthesiology, and Ophthalmology, University of Texas Southwestern Medical Center.
R Wayne
RW
Bowman
Dallas, Texas.|From the Departments of Plastic Surgery, Anesthesiology, and Ophthalmology, University of Texas Southwestern Medical Center.
Rod J
RJ
Rohrich
D000287:Administration, Topical; D000700:Analgesics / Q000627:therapeutic use; D000768:Anesthesia, General / Q000009:adverse effects*; D019072:Antibiotic Prophylaxis; D065306:Corneal Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*; D015352:Dry Eye Syndromes / Q000150:complications; D019573:Epithelium, Corneal / Q000473:pathology; D019416:Head Movements; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*; D065346:Lubricant Eye Drops / Q000627:therapeutic use; D009184:Mydriatics / Q000627:therapeutic use; D013508:Ophthalmologic Surgical Procedures; D056888:Patient Positioning; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011292:Premedication; D016032:Randomized Controlled Trials as Topic; D014945:Wound Healing
D000700:Analgesics; D065346:Lubricant Eye Drops; D009184:Mydriatics