Scratched Eyes (Corneal Abrasion)

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Common Causes of a Scratched Eye

Corneal abrasions can result from everyday activities or accidents. Being aware of common causes can help you prevent injury.

Accidentally poking the eye with a fingernail, makeup brush, or pen can cause a scratch.

Small particles such as dirt, sand, or dust trapped under the eyelid may scratch the cornea.

  • Wearing contact lenses for too long
  • Using dirty or ill-fitting lenses

Rubbing your eyes too hard, especially when something is in them, can worsen a scratch or cause new injury.

Chemicals or cleaning products splashing into the eye can damage the surface and lead to abrasions.

Injuries during sports or activities, especially without protective eyewear, are a common cause of corneal abrasions.

Symptoms of a Scratched Eye

Symptoms can vary in severity and may not always indicate the seriousness of the injury.

A sharp pain in the eye is typical after a scratch.

You may feel as if something is stuck in your eye.

Red, bloodshot, or watery eyes are common symptoms.

  • Blurred or decreased vision
  • Sensitivity to bright light

A burning or stinging feeling may occur after an abrasion.

  • Headache
  • Difficulty keeping the eye open

What to Do Immediately

Prompt first aid can help minimize pain and lower infection risk.

Gently rinse your eye with clean water or a sterile saline solution.

Blink several times to help your tears wash out any small particles.

If you wear contact lenses, remove them right away to prevent further irritation.

Wear sunglasses if your eye is sensitive to light to help with discomfort.

What NOT to Do

Following these precautions can help prevent further injury and infection.

Do not rub or press on your eye. This may make the scratch worse.

Do not try to remove anything stuck in your eye with your fingers, tweezers, or other objects.

Do not use over-the-counter redness-relieving eye drops unless a doctor tells you to.

Do not wear your contact lenses until an eye doctor says it's safe.

Do not patch the eye, as this can create a warm environment for bacteria and increase the risk of infection.

When to Seek Medical Attention

You should see a doctor as soon as possible for any eye scratch, especially if you wear contact lenses. Seek immediate help if you experience any of the following:

Severe pain that doesn't get better warrants prompt evaluation.

If your vision is blurry or getting worse, see a doctor right away.

If you cannot remove debris by rinsing, seek medical help.

Noticeable pus or discharge can indicate infection.

If redness or swelling is getting worse, call your doctor.

Injuries caused by chemicals or sharp objects require urgent evaluation.

Treatment and Recovery

Most minor scratches heal on their own in a few days with proper care. A doctor may recommend the following to prevent infection and help your eye heal:

These prevent infection during the healing process.

Moisturizing drops can make your eye more comfortable.

In some cases, a special 'bandage' contact lens helps with pain and healing.

Pain relievers may be recommended for comfort.

It's very important to attend any follow-up appointments to ensure proper healing.

How to Prevent Eye Scratches

Taking some proactive steps can help protect your eyes from future injuries.

  • Wear protective eyewear during sports, yard work, or when using power tools or chemicals.

Follow our eye doctor's instructions for contact lens care. Never wear them for too long or sleep in them unless approved.

Avoid rubbing your eyes if you think something is in them; flush with water instead.

  • Keep children's fingernails trimmed
  • Teach them about eye safety

Frequently Asked Questions

Below you'll find answers to common questions about corneal abrasions.

Most minor corneal abrasions heal on their own within a few days, thanks to the eye's rapid repair abilities. However, it's important to have a doctor evaluate any eye injury to prevent infection and ensure the scratch is not more serious than it looks. Severe or persistent symptoms like worsening pain or vision changes always need medical attention to avoid complications.

Signs of infection include increased redness, swelling, pus or colored discharge, worsening pain, blurred vision, or a white spot on the cornea. Any of these symptoms after a corneal abrasion mean you should seek prompt medical care.

Use only lubricating or moisturizing drops, not redness-relieving or medicated drops, unless prescribed. Oral pain relievers such as acetaminophen or ibuprofen may help with discomfort. Never use anesthetic or steroid drops unless your doctor instructs, since these can delay healing or harm the eye.

While recovering, avoid wearing contact lenses, rubbing your eyes, swimming, and exposing your eyes to wind, dust, or chemicals. Pause strenuous activities or sports that might re-injure your eye until it heals.

Pain and discomfort from a minor scratch usually improve within 24 to 48 hours, and most abrasions heal completely in 3 to 4 days. Larger or deeper abrasions may take longer. If symptoms persist or worsen, contact your doctor.

Most corneal abrasions heal without lasting effects. However, if the injury becomes infected, leads to ulcer formation, or is left untreated, permanent scarring and vision loss are possible. Prompt care and following doctor's instructions are crucial.

Gently rinse the child’s eye with clean water and discourage rubbing. Remove contact lenses if worn. If pain, redness, or vision changes persist, see a doctor promptly. Children may rub the eye more, so supervision and early treatment prevent further injury or infection.

Your doctor may schedule a follow-up, especially if you wear contact lenses or the injury is severe. These visits confirm proper healing and help catch infections early. Attend all appointments, even if your symptoms improve.

Avoid wearing eye makeup until complete healing and after medical clearance. Makeup could introduce bacteria and increase infection risk. Dispose of any makeup used at the time of injury to avoid re-exposure.

Recurrent corneal erosion means the cornea's surface can break down or feel scratched multiple times, sometimes months or years after your initial injury. This typically happens if the cornea heals unevenly. Symptoms include sudden eye pain and sensitivity, especially upon waking. If you experience repeat episodes, consult your doctor; lubricating treatments or further care may be needed.

Why Choose Alden Leifer, MD and Associates?

A scratched eye can feel alarming, but with our experienced team in Paterson and serving Passaic, Bergen, and Essex Counties, you’ll receive thorough eye injury evaluation, compassionate care, and proven treatment for a fast, safe recovery. Contact Alden Leifer, MD and Associates at the first sign of symptoms, our expertise helps you see clearly and comfortably, now and for years to come. Proudly supporting patients so you can “See great till 98”, and beyond!

"Thank you guys especially front desk for getting my mother Carmen In same day as a emergency.. everyone there are very nice and professional.."

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"Very positive- I had an emergency eye infection this morning and they were able to fit me in a busy schedule for observation and diagnosis - thank you!"

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"I'm glad I visited Dr. Leifer I had an emergency and he took me immediately, very pleasant and professional, I highly recommend him."

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