7 Feb 2024 • The management of corneal abrasions has largely excluded dispensing topical local anesthetics for home use due to concern for corneal toxicity.

In simple corneal abrasion cases, it is now deemed safe to prescribe or provide commercial topical anesthetics such as proparacaine, tetracaine, or oxybuprocaine every 30 minutes, up to 1.5 to 2 mL within the first 24 hours post-presentation.

Experts have deemed it essential to ensure that no more than 1.5 to 2 mL in total (an expected 24-hour supply) is dispensed, and any remainder is discarded after 24 hours.

Source: Annals of Emergency Medicine | Read full story