Resumo
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- dor ocular
- lacrimejamento
- fotofobia
- visão turva
- rubor ciliar
Other diagnostic factors
- presença de corpo estranho
- reflexo vermelho
- opacidade corneana
- "anel de ferrugem"
- blefaroespasmo
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
Diagnostic tests
1st tests to order
- acuidade visual
- coloração por fluoresceína
Tests to consider
- TC de crânio e órbitas
Treatment algorithm
abrasão da córnea aguda
erosões da córnea recorrentes ou má recuperação
Contributors
Authors
Christopher McStay, MD
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
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.
Differentials
- Conjuntivite
- Laceração corneana com perfuração do globo
- Ulceração da córnea e ceratite ulcerativa
More DifferentialsGuidelines
- Cornea/external disease summary benchmarks - 2024
- Cornea/external disease summary benchmarks - 2024
More Guidelines
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