Treatment of corneal abrasion in children with topical nonsteroidal anti-inflammatory drops without pressure patching

Abstract EN

A non-comparative interventional case series to evaluate the effectiveness of non-steroidal anti-inflammatory (NSAID) drops in the management of non-infected, traumatic corneal abrasion with no pressure patch in children.

One hundred patients with non-infected traumatic corneal abrasion less than 10 mm2 in size and less than 12 hours in duration were studied.

All patients received a cycloplegic eye drops at the time of presentation and were instructed to instill Diclofanic sodium 1.0 mg.

Eye drops (Voltaren, Ciba Vision Ltd.) four times daily and Fucidic acid 10 mg (Fucithalmic Eye Ointment, LEO Pharmaceutical).

The children that presented with closed eyes had more lid edema, photophobia, lacrimation and pain score than patient presented with open eyes (p < 0.001).

This dissimilarity disappeared in the second day with no statistical differences.

Five children (5 %) preferred to close their eye on the first day for the pain.

By the second day, all the patients had a lower pain score with no discomfort.

Traumatic corneal abrasion can be managed safely in children with no pressure patch and with topical NSAID to relieve the pain and the discomfort that follow the incidence with no side effect.