Ocular lubricants for symptomatic relief (drops for use during the day, unmedicated ointment for use at bedtime)
Antibiotic as prophylaxis against infection, if risk high
Ask if allergic to Chloramphenicol
If not, supply Chloramphenicol 1% eye ointment 3 times daily for 5 days
If allergic to Chloramphenicol, or pregnant, supply Fusidic acid 1% liquid gel twice a day for 5 days
Cyclopentolate 1% 3 times daily until pain free
Oral analgesic for pain relief
Advice
Reassure patient that damage is transitory and pain will be gone within 24 to 48 hours
Mild photophobia and blurring may persist for a week or longer
Sunglasses to ease photophobia
Review following day (corneal epithelium should have largely healed)
Advise patient to return/seek further help if symptoms persist
Advise patient on future eye protection
Management Category
Management to resolution by Optometrist
Possible management by Ophthalmologist
Not normally required
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