Corneal Abrasion - Scratched Cornea

Corneal abrasion consists in the loss of the outer layer of the cornea, called epithelium. It becomes noticeable after traumas (e.g. a finger in the eye) or corneal dystrophy.

Corneal dystrophy is often linked to the patient’s family medical history. Usually, the Bownman membrane is ruined and this makes the epithelium less stable and prone to detach itself even in case of very light traumas (e.g. opening the eyes at night). The most noticeable symptom is a very strong pain that is more bearable when the eye is kept close.

Treatment consists in bandaging the affected eye and rest. The epithelium grows back again in a couple of days. An eye examinations is fundamental to avoid the risk of infections.
People that are experiencing recurring or relapsed corneal abrasion, can undergo specific treatments, such as:

  • Corneal laser surgery (PTK)
  • Superficial Keratectomy with diamond scalpel (diamond burr polishing)

I’m suffering from corneal abrasion: what should I do?

Corneal abrasion is a very painful condition, but it usually heals by itself in a few days. Cornea can suffer abrasions while putting on make up, after traumas or because of contact lenses, or again repeatedly in case of cornea dystrophy.

It is necessary to use immediately antibiotic eye drops to prevent corneal infecrions; keeping the eye closed usually gives relief and speeds up the healing process. The best thing to do is get in touch with an ophthalmologist that can suggest the best treatment.

Francesca Cassa, Brescia (Montichiari)

Votazione: Eccellente
Many years ago, herpes virus left  me with a corneal scar. Over time, I alternated periods of "quiet" to relapses of various seriousness (included a corneal ulcer).

My eyesight has gradually worsened to about 1/10.
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Most of the eye doctors I have consulted advised me against perforating corneal transplantation.

Then, I read on the internet about lamellar transplant technique. The first consultation (4 years ago at another medical center) left me with some concerns. Following the deterioration and difficulty in performing some simple tasks with one eye (e.g. drive), I tried again.

After having found the name of Dr. Badalà, I booked a visit. After preliminary tests I described the situation, he reassured me (I am a quite anxious person!). He proposed me the surgery, explaining the advantages, risks and prospects and I decided to undergo surgery, which was performed under general anesthesia.

The operation was successful, without any pain or postoperative problems (related to anesthesia).

After a few hours I already got up, the same day they removed my blindfold and I had already gained 1/10, how exciting!

The next day I was discharged, and I returned home by train.

I recovered my daily life immediately, with a few days of rest and appropriate care.

Now (six months after surgery) I am rigorously following therapy ,but I have no specific difficulties and obstacles (only some discomfort related to the sun and summer heat).

The eye is slowly improving, even someone asks me what has happened since the color is back like the other (before the opacity was so obvious that the two eyes seemed different color!) and at each check-up visual acuity earns some points (after six months I see 7/10 versus 1/10 in advance).

I thank Dr. Badalà for guiding me to this decision with the serenity which me and my family needed, and how he continues to guide me in the post-transplant course.