Is Corneal Laceration More Serious Than Corneal Abrasion?

What is Corneal Laceration?

Cornea is the front lining of the eyeball. Any tear or cut in this lining result in corneal laceration. It is commonly caused from an injury or impact from something sharp such as a metallic hand tool or due to a sharp object flying into the eye such as a piece of wood flying into the eye when chopping it. A corneal laceration can be a cut, which goes fully or partially through the cornea. It is deeper than a corneal abrasion. If it is a full thickness corneal laceration, then the cornea will be completely cut or pierced causing the globe to rupture, i.e. there will be a cut or tear in the external surface of the eyeball itself.

Causes of Corneal Laceration

Activities such as chopping wood, trimming grass, stone carving or grinding metal may cause something to fly up and enter the eye resulting in corneal laceration.

Corneal Laceration

Is Corneal Laceration More Serious Than Corneal Abrasion?

Yes. Corneal laceration is a more serious injury than corneal abrasion. In corneal abrasion, there is simply a superficial scratch on the cornea whereas corneal laceration consists of a cut, which is deep and goes through the cornea.

Symptoms of Corneal Laceration

Symptoms of Corneal Laceration

  • Acute pain in the eye.
  • Tearing.
  • The vision may be affected.
  • Change in the shape of the pupil.
  • Sensitivity to light.
  • Blood in the eye.
  • Patient feels as though there is something in the eye.

Treatment of Corneal Laceration

  • To see an ophthalmologist preferably immediately.
  • The ophthalmologist may use numbing drops to alleviate the pain so the patient can keep the eye open.
  • An eye stain helps in finding out the extent of damage.
  • Majority of the times, surgery is required to repair corneal lacerations and to remove any foreign body if present. Sometimes, more than one surgery is required for severe corneal lacerations. Severe corneal lacerations can also result in patient losing the vision permanently.
  • After the surgery for Corneal Laceration is done, the eye will be patched to protect it. The doctor also prescribes pain medications to patient for pain relief.
Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:January 7, 2022

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