What is a Corneal Abrasion?
In this guide, you'll learn about the causes and symptoms of corneal abrasion and what it can look like. You'll also learn about how optometrists will diagnose eye scratches. And you'll find out about the main kinds of corneal abrasion treatment.
What are the symptoms of Corneal Abrasion?
Have you noticed that one of your eyes hurts or feels uncomfortable? It could be a corneal abrasion. Depending on how the eyeball scratch happened and how large the scrape is, you could experience some of the following kinds of symptoms.
If you experience any of these symptoms, it's important to get your eyes checked. Although corneal abrasions often clear up by themselves, they can get infected if not treated. So, visit an optometrist as soon as you can.
A feeling of something in your eye, as if you have sand or grit in the eye
Much more sensitivity to light than usual, and discomfort in daylight
Eye pain, especially when opening or closing them (it can be worse in the morning when you wake up)
You might notice your eyes are much more watery or teary than usual
Red or bloodshot eyes‑ when the whites of your eyes appear pink with blood vessels more visible than usual
Blurred vision, which makes things appear distorted or unclear
What causes Corneal Abrasion?
Lots of things can lead to a scratched eye, but there are some causes that optometrists see more often than others. These include accidentally poking your eye with a finger or nail, or getting something sharp like grit, sand or dust in your eye. Contact lens wearers sometimes develop scratches if they leave daily lenses in overnight, or if lenses aren’t cleaned properly. Rubbing your eyes too hard, especially if there’s something already in them, can also cause damage.
Other common causes include scratching your eye while putting on makeup, dry eye syndrome (when your eyes don’t make enough tears), and getting flicked in the eye by a leaf or twig outdoors. Sports like martial arts, squash or tennis can also pose a risk, especially if something hits the eye at speed. Less common but possible causes include exposure to UV light (such as in tanning salons or very bright sun) and chemical splashes, either in the workplace or from household cleaning products.
Book an appointmentHow is Corneal Abrasion treated?
Treatment for a corneal abrasion depends on how it happened and how severe your symptoms are. Small scratches often heal on their own in a couple of days. Your optometrist might suggest specialist eye drops, taking over‑the‑counter pain relief and avoiding bright lights to help it recover.
If the scratch is more serious, you may need extra support. This could include antibiotic eye drops to prevent infection and lubricating ointment to protect the eye and ease discomfort. You can also help things along by wearing sunglasses to reduce light sensitivity, using a cold compress, and avoiding screens until your eye feels better.
Book an eye testCan Corneal Abrasion be prevented?
You can lower your risk of scratching your eye by taking a few simple steps. If you work somewhere with flying particles – like a building site, workshop or foundry – wearing protective goggles, glasses, or a face shield is important. At home, safety glasses can help prevent injury while gardening or doing DIY jobs.
Sport is another common cause of eye injuries. Wearing proper eye protection in activities like squash or tennis can help keep your eyes safe. It’s also important to be careful with contact lenses – don’t sleep in them unless they’re designed for overnight use, and always follow the instructions for how long to wear them.
Makeup can also lead to scratches if you’re not careful. Use products that are still in date, apply mascara gently, and avoid poking or pulling at your lashes. Taking care with your eyes day to day can help prevent problems later.
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Scratched Cornea FAQs
The severity of a corneal abrasion depends on the size and position of the scratch and how much it damages the cornea. Eye pain doesn’t always represent the amount of damage, so it's always best to get the eye checked by an optometrist. While the majority of scratches will heal by themselves, they do have the potential to get infected or form a scar, which can cause permanent damage to the eye and affect your vision.
As with any eye or vision problem, it is almost impossible to judge the seriousness of the abrasion yourself, so the best thing to do is to get their eyes checked by your optometrist. The optometrist may suggest monitoring, treatment or referral to eye specialists if the damage is more serious. However, most scratches will heal on their own, and the child won't normally develop long‑term sight issues.
No, we would strongly advise against wearing any makeup that goes near the eye when you're recovering from a corneal abrasion. Mascara could get into the abrasion and cause more irritation. There's also a possibility it could contain bacteria that leads to an infection. Most of the time, a corneal scratch will heal in a few days, so you can start using makeup again before long. Follow your optometrist's advice ‑ but it's best to wait at least a week before you start using eye makeup again, if not longer.
Maybe, but it depends on what's caused the eye damage, your symptoms, and what sort of work you do. In an ideal world, you'd rest at home until you're fully recovered, but we know that's not always possible. In the first place, speak to your optometrist and contact the health and safety person at your work to discuss options. It's important to rest your eye as much as possible when you have a corneal scratch, yet many jobs require you to use your eyes a lot (whether that's looking at a screen or driving a vehicle), so it could slow down your recovery.
Yes, your body repairs damage during sleep, so it's really helpful to get as much sleep as possible when recovering from an eye scratch.
It depends on how much damage has been done to your cornea. Generally, smaller scratches take 2‑3 days to heal, while larger scratches might take longer. Interestingly, scientific research shows that the cornea has one of the fastest ways of repairing itself in the human body.
Yes, it is always a good idea to visit an optometrist about any kind of eye damage. They can do tests to work out how much damage has been done. They can also give you specific advice on how to heal your scratched cornea.
No, not always. For some people, a corneal abrasion might just feel like they have some sand in their eye, and is simply uncomfortable. But for others, it can be very painful, causing intense, stabbing pain. The pain might also be worse when exposed to light. Even if the injury isn't especially painful, that doesn't mean it's less serious ‑ we'd always recommend getting it seen by an optometrist.
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Hardarson, T., et al. (2004) Time‑lapse recordings of human corneal epithelial healing. Available online: Available at: https://onlinelibrary.wiley.com/doi/10.1111/j.1600‑0420.2004.00250.x
NICE (2024) Corneal superficial injury. Available online: Available at: https://cks.nice.org.uk/topics/corneal‑superficial‑injury/
The College of Optometrists (2025) Corneal abrasion. Available online: Available at: https://www.college‑optometrists.org/clinical‑guidance/clinical‑management‑guidelines/cornealabrasion
