Which statement about corneal abrasion management is true?

Which statement about corneal abrasion management is true?

• A. Do not use corticosteroids without ophthalmology consultation
• B. Steroids are first-line
• C. Systemic antibiotics are required for all abrasions
• D. Antivirals are recommended

Answer: (A)

Corticosteroids should not be used in corneal abrasions without ophthalmology consultation because they can delay epithelial healing and impair local immune defenses, potentially worsening infection or risking perforation. In typical management, the priority is to prevent infection and support healing with analgesia, lubrication, and a topical broad-spectrum antibiotic. Systemic antibiotics are not required for all abrasions, and antivirals are only considered if there is suspicion of herpes simplex keratitis. Steroids are not part of routine first-line treatment and may be considered only under specialist guidance after careful assessment and healing has begun.

Corticosteroids should not be used in corneal abrasions without ophthalmology consultation because they can delay epithelial healing and impair local immune defenses, potentially worsening infection or risking perforation. In typical management, the priority is to prevent infection and support healing with analgesia, lubrication, and a topical broad-spectrum antibiotic. Systemic antibiotics are not required for all abrasions, and antivirals are only considered if there is suspicion of herpes simplex keratitis. Steroids are not part of routine first-line treatment and may be considered only under specialist guidance after careful assessment and healing has begun.