Catania L J
Optom Clin. 1991;1(3):123-33.
Contact-lens-related corneal abrasions are a management problem for optometrists because of the risk of ulcerative keratitis, particularly from Pseudomonas. Risks and causes of abrasions should be identified for extended-wear patients, and appropriate steps should be taken to minimize the opportunity for injury. When an extended-wear patient presents with an abrasion, the clinician should take a careful history, conduct a thorough examination, and provide the necessary treatment: discontinuation of lens wear, irrigation of the cornea, use of cycloplegia and dilation of the pupil, utilization of the aminoglycoside tobramycin to treat the abrasion, no patching, and appropriate use of cold compresses and oral nonsteroidal anti-inflammatory drugs. Follow-up evaluations should be provided at 24 and 48 hours and at 3 to 5 days after the injury.
与隐形眼镜相关的角膜擦伤是验光师面临的一个管理难题，因为存在溃疡性角膜炎的风险，尤其是由铜绿假单胞菌引起的。对于长期佩戴隐形眼镜的患者，应识别擦伤的风险和原因，并采取适当措施尽量减少受伤的机会。当长期佩戴隐形眼镜的患者出现擦伤时，临床医生应仔细询问病史，进行全面检查，并提供必要的治疗：停止佩戴隐形眼镜、冲洗角膜、使用睫状肌麻痹剂和散瞳、使用氨基糖苷类药物妥布霉素治疗擦伤、不包扎、适当使用冷敷和口服非甾体类抗炎药。应在受伤后24小时和48小时以及3至5天进行随访评估。
