Scratched Eye (Corneal Abrasion)

Learn about symptoms, diagnosis and treatment for a corneal abrasion (eye scratch).

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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

An optician delivers an eye test to a customer

Do these symptoms sound familiar?

If you have experienced any of the symptoms mentioned above it's worth booking an appointment with one of our optometrists.

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.

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How 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.

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Can 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.

Written by our experts for peace of mind

https://images.ctfassets.net/zcryw81f0g1x/5mrcuMDlru21b9LMMuIQn7/34dcf1c5e9fe3ed41c4ea4077537d61f/Ross_Campbell_Northallerton.jpg

Ross Campbell

BSc Hons MCOptom Prof Cert Glauc Prof Cert Med Ret

Ross is an experienced optometrist having graduated in 2007 from Bradford University. He is also ophthalmic director of Specsavers Swaledale with Northallerton & Thirsk, a pre‑registration supervisor, professional advancement consultant, and a WOPEC Lead Assessor. He has previously worked as Director of Optometry Advancement for Specsavers and as a columnist for Optician & ProFile magazine.

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