Corneal Abrasion: The Daily PANCE Blueprint

Home Corneal Abrasion: The Daily PANCE Blueprint

Corneal Abrasion: The Daily PANCE Blueprint

A 20-year-old male presents to the clinic complaining of irritation in his right eye. He said he was gardening all day yesterday, and now it feels like "there’s sand or something" in his eye. Which of the following would you MOST expect in this patient?

A. Rust ring
B. Hazy cornea
C. Blood in the anterior chamber
D. Increased intraocular pressure
E. Fluorescein stain uptake

Answer and topic summary

The answer is E. Fluorescein stain uptake

A corneal abrasion is defined as a scrape or scratch injury on the corneal epithelium. Etiologies include injury from some sort of object, foreign body in the eye, prolonged contact lens usage, UV light, and dry eyes. Clinical features include eye pain, blurry vision, a “foreign body sensation” in the eye, conjunctival injection, and photophobia. Diagnosis is made via examining the eye with fluorescein staining. Treatment includes topical NSAIDs and antibiotic eye drops or ointment (Note: anti-pseudomonal coverage is indicated in contact lens wearers). Healing is expected in 1-2 days.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint EENT ⇒ Traumatic disorders ⇒ Corneal abrasion

Also covered as part of the Family Medicine EOR, Emergency Medicine EOR topic lists

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