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Optimal treatment for traumatic corneal abrasions lacks consensus

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Emergency physicians in Canada do not seem to have a consensus on the best treatment course for the management of traumatic corneal abrasions, according to results of a national survey.

Lisa Calder, MD, and colleagues at the University of Ottawa surveyed 470 emergency physicians to determine the prevalence of analgesics, eye patches and topical antibiotics in the management of traumatic corneal abrasions.

The overall response rate was 64%, and the median age of the respondents was 38 years old. Of the physicians, 77.7% were men and 71.8% were full-time emergency physicians. The leading pain management treatment was oral analgesics (82.1%), followed by cycloplegics (65.1%) and topical nonsteroidal anti-inflammatory drugs (52.8%). Only 21.6% of the respondents prefer to patch, and most (71.2%) prescribed topical antibiotics, especially for contact lens-wearing patients.

The results are published in the Canadian Journal of Emergency Medicine.