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Abrasões da córnea

Última revisão: 21 Sep 2025
Última atualização: 03 Jun 2025

Resumo

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • dor ocular
  • lacrimejamento
  • fotofobia
  • visão turva
  • rubor ciliar
Full details

Other diagnostic factors

  • presença de corpo estranho
  • reflexo vermelho
  • opacidade corneana
  • "anel de ferrugem"
  • blefaroespasmo
Full details

Risk factors

  • trauma ocular
  • corpo estranho no olho
  • uso de lentes de contato
  • trabalho na indústria automotiva
  • ausência de protetores oculares
  • abrasão prévia da córnea
  • utilização de airbag durante colisão de veículo automotor
Full details

Diagnostic tests

1st tests to order

  • acuidade visual
  • coloração por fluoresceína
Full details

Tests to consider

  • TC de crânio e órbitas
Full details

Treatment algorithm

ACUTE

abrasão da córnea aguda

ONGOING

erosões da córnea recorrentes ou má recuperação

Contributors

Authors

Christopher McStay, MD
Christopher McStay

Associate Professor of Emergency Medicine

Department of Emergency Medicine

Columbia University College of Physicians and Surgeons

New York

NY

Disclosures

CM declares that he has no competing interests.

Peer reviewers

Christopher Tedeschi, MD

Instructor in Clinical Medicine

Emergency Medicine Department

New York Presbyterian Hospital

Columbia University Medical Center

New York

NY

Disclosures

CT declares that he has no competing interests.

Rasik Vajpayee, MD

Chair of Ophthalmology

Corneal and Cataract Surgery

University of Melbourne

Melbourne

Australia

Disclosures

RV declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Algarni AM, Guyatt GH, Turner A, et al. Antibiotic prophylaxis for corneal abrasion. Cochrane Database Syst Rev. 2022 May 27;5(5):CD014617.Full text  Abstract

Watson SL, Leung V. Interventions for recurrent corneal erosions. Cochrane Database Syst Rev. 2018 Jul 9;(7):CD001861.Full text  Abstract

Lim CH, Turner A, Lim BX. Patching for corneal abrasion. Cochrane Database Syst Rev. 2016 Jul 26;(7):CD004764.Full text  Abstract

American Academy of Ophthalmology. Cornea/external disease summary benchmarks - 2024. Dec 2024 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Abrasões da córnea images
  • Differentials

    • Conjuntivite
    • Laceração corneana com perfuração do globo
    • Ulceração da córnea e ceratite ulcerativa
    More Differentials
  • Guidelines

    • ​Cornea/external disease summary benchmarks - 2024
    • Cornea/external disease summary benchmarks - 2024
    More Guidelines
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