Contact lens abrasions and the nonophthalmologist

Corneal abrasions associated with contact lens wear are commonly evaluated and treated in acute care clinics and emergency departments by nonophthalmologists. The risk of progression to suppurative keratitis in this setting requires management distinct from that of other mechanical (eg, fingernail scratch) corneal abrasions. The antibiotic chosen should reflect the need for prophylaxis against Pseudomonas. Conditions favoring bacterial growth, specifically occlusive patching and/or use of steroid containing compounds, should be avoided, and 24-hour follow-up examination is recommended.