Corneal Abrasion/Foreign Body

Statistics and Associations

  • Abrasions usually trauma related
  • Foreign body usually metal, glass, or organic material


  • Removal of foreign body, antibiotic coverage, cycloplegic if needed, and bandage contact lens for comfort
  • Follow daily until wound heals
  • Consider hypertonic (salt) solutions or ointment to decrease risk of recurrent epithelial erosions


Statistics and Associations

  • Generally idiopathic
  • Recurrent attacks associated with tuberculosis, syphilis, herpes zoster, rheumatoid arthritis or other collagen diseases
  • Up to a 66% chance of reoccurrence


  • None generally needed for resolution
  • Vasoconstrictor, mild steroid, and/or oral NSAID pain reliever if severe


Statistics and Associations

  • Secondary to UV exposure and/or recurrent irritation from wind, dust, or other ocular irritant
  • Potential to decrease vision by covering visual axis and/or creating astigmatism by distorting the cornea
  • 33% incidence of reoccurrence following surgical excision


  • Astigmatism correction
  • Ocular lubrication as needed
  • Surgical intervention if decreased vision or for cosmetics

Superior Limbic Keratoconjunctivitis

Statistics and Associations

  • Common in middle aged females
  • Asymmetric and typically bilateral
  • 50% association with thyroid disease
  • Association with contact lens use


  • Artificial tears as needed
  • Thyroid testing

Giant Papillary Conjunctivitis

Statistics and Associations

  • 95% association with contact lens wear or severe allergies
  • Occurs secondary to protein deposits or mechanical irritation


  • Discontinue contact lenses or decrease wearing time, increase cleaning and enzymatic cleaner use
  • Mast cell stabilizer and/or antihistamine
  • Consider short term treatment with soft steroid for severe cases

Blepharitis and Meibomitis

Blepharitis Meibomitis
Statistics and Associations

  • Inflammation of the eyelid margins (blepharitis) and/or inflammation of the oil-producing glands of the eyelid (meibomitis)
  • Inflammation commonly secondary to bacteria sensitivity or mite infection
  • Extremely common among adult population with strong association with dry eye symptoms


  • Dry eye treatment as needed
  • Lid scrubs and/or Hot soaks with warm washcloth
  • Short term treatment with antibiotic or combination ointment
  • Doxycycline oral antibiotic in severe cases