Scratched Eye (Corneal Abrasion)

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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:

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.

Clinician in test room looking at camera

Got a question about scratched eyes?

Take a look at the FAQs below, or for more advice, why not ask the expert?

Scratched Cornea FAQs

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