What is a Scratched Eye or Corneal Abrasion?
A scratched eye is one of the most common eye injuries. A corneal abrasion is a scratch to the cornea, the outer layer at the front of the eye, and can often cause discomfort, red eyes, and a strong sensitivity to light. Corneal abrasions happen when the top layer of cells of the cornea are damaged.
Experiencing pain, discomfort or a sudden change in your vision? Please call your local store and we’ll see you as soon as possible.
Signs of corneal abrasion
Signs and symptoms of a scratched eye include:
Feeling like you have sand or grit in your eye
Painful eyes, especially when opening or closing
Sensitivity to light
Blurred vision
When should I see a doctor for a scratched cornea?
Although minor scratches do normally heal on their own, you should see an eye care professional if you experience these symptoms to ensure that no other eye problems are present and to prevent infection.
If you suspect you are suffering from corneal abrasion, book a consultation with us and speak to one of our eye care professionals. Choose your nearest store and a time that suits you. You can also Ask The Expert for help over our live chat.
Causes of a scratched eyeball
There are many ways to get a corneal abrasion. No matter the size, anything that contacts the surface of the eye can cause injury.
Common causes of a corneal abrasion include:
Airborne particles such as dust or sand.
Contact with objects, for example a fingernail during children’s playtime or DIY activities.
Dry eyes can increase your risk of corneal abrasion through insufficient lubrication of the eye. Dry areas cause the corneal surface to become fragile and, therefore, much more likely to become damaged, even during something as simple as rubbing your eye.
Can a corneal abrasion be prevented?
If you feel like there’s something in your eye, your natural reaction might be to rub it. Try to refrain from this as it can cause a scratch. Instead, to prevent this try these techniques:
Blink several times
Rinse your eye out with water
Use a saline solution to clean the eye
If you feel like there is something in your eye, avoid rubbing it to stop further damage. Always wear eye protection when there is a risk of eye damage – for example working in a dusty environment or amongst thick vegetation and when doing DIY.
If you do feel something in the eye, blink a few times to see if this dislodges it and, if not, gently rinse your eye out with clean water or a sterile saline solution. If the pain or discomfort persists, seek medical attention.
How serious is a corneal abrasion?
The severity of a corneal abrasion is determined by the size and position of the abrasion and how deeply it damages the cornea. Eye pain doesn’t always represent the amount of damage, so it is always best to get the eye checked by an optician.
While the majority of scratches will self‑heal, they do have the potential to get infected or form a scar, which can cause permanent damage to the eye and affect your vision.
What is the treatment for corneal abrasion?
The majority of corneal abrasions slowly self‑heal over several days. However, because the surface damage makes the eye more susceptible to infection, scratched eye treatment can sometimes require antibiotic eye drops or ointment, your optician may also recommend other eye drops. These treatments can all be done at home.
What are the most effective over‑the‑counter treatments for a scratched cornea?
Common topical antibiotic options include:
Erythromycin ointment.
Ciprofloxacin drops.
Moxifloxacin drops.
You will be told how long to use your treatment ‑ it is common to stop once you’ve gone a full day with no symptoms.
How long does a corneal abrasion take to heal?
Healing time depends on the size of the corneal abrasion. Smaller corneal abrasions take as little as two to three days to heal, while bigger scratches can take four to five days. The important thing to remember is that a healing abrasion will feel better over time, but if symptoms worsen then speak to your optician.
Scratched Cornea FAQs
The severity of a corneal abrasion is determined by the size and position of the abrasion and how deeply it damages the cornea. Eye pain doesn’t always represent the amount of damage, so it is always best to get the eye checked by an eye professional.
While the majority of scratches will self‑heal, they do have the potential to get infected or form a scar which can cause permanent damage to the eye and affect your vision.
For a scratched eye, it is recommended to book a consultation with an eye care professional rather than going directly to A&E unless you are experiencing severe symptoms such as vision loss.
The cornea, the area of the eyeball that has been scratched, is very sensitive so corneal abrasions can be very painful. You will feel as though there is something stuck in your eye, and will experience redness, watering eyes and light sensitivity.
As with any eye or vision problem, it is almost impossible to judge the seriousness of the abrasion yourself, so the best thing to do is to get their eyes checked by your optometrist. The optometrist may suggest monitoring, treatment or referral to eye specialists if the damage is more serious but typically most abrasions will self‑heal.
Refrain from rubbing your eyes, as this can make the scratch larger.
If an object is embedded in your eye, wait for a medical professional to retrieve it. Do not attempt this yourself.
Refrain from touching your eye with anything, including cotton swabs or tweezers.
Don't wear contact lenses until your eye has completely healed and your optician tells you it is safe to do so.
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