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sheet red flags Get out of a scrape! Caring for corneal abrasions By Charlotte Davis, BSN, RN, CCRN; Kandie Brothers, MSN, RN, CNL; and Nkechi Azubike, MSN, RN, BC-FNP A corneal abrasion is a scratch, scrape, or be completely transparent, which is why cor- dried area on the cornea (see Picturing a neal scarring can permanently impair vision. corneal abrasion). Each year over 300,000 pa- From the anterior to posterior position, tients seek treatment in EDs and urgent care the cornea has fi ve distinct transparent lay- centers for eye injuries such as corneal abra- ers: the corneal epithelium, Bowman’s sions. For every 10,000 workers in the United membrane, the corneal stroma, Descemet’s States, 4.8 will suffer an eye injury that re- membrane, and the corneal endothelium. sults in lost time from work. Over 80% of These structures have no blood vessels and those experiencing an eye injury are men. receive nutrients from tears, environmental Corneal abrasions can cause painful oxygen, and fl uid from the aqueous humor infl ammation (keratitis) and infections of the of the eye’s anterior chamber. cornea. Infections can diminish visual clarity, The cornea is innervated primarily by the produce ocular discharge, and result in
Nursing Made Incredibly Easy! – Wolters Kluwer Health
Published: Jul 1, 2014
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