Newell S W
Am Fam Physician. 1985 Feb;31(2):149-56.
Optimal management of corneal foreign-body injuries includes an accurate history, thorough examination of both eyes, atraumatic removal of the foreign body, elimination of the rust ring, appropriate antibiotic prophylaxis and protective patching. Pitfalls to be avoided include using topical steroids, which may promote ulceration from fungal contaminants, and prescribing topical anesthetics, which can mask the pain of a retained tarsal foreign body or a developing corneal ulcer. Careful records of care and follow-up are essential.
角膜异物伤的最佳处理包括准确的病史采集、双眼的全面检查、无创伤地取出异物、清除锈环、适当的抗生素预防以及保护性包扎。需要避免的陷阱包括使用局部类固醇，这可能会促进真菌污染物导致的溃疡形成，以及开具局部麻醉剂，这可能会掩盖睑板异物残留或角膜溃疡发展的疼痛。仔细记录护理和随访情况至关重要。
