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Should we patch corneal erosions?

J D Arbour1, I Brunette, H M Boisjoly

  • 1Department of Ophthalmology, University of Montreal, Quebec.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1997
PubMed
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Patching corneal abrasions does not speed up healing or reduce patient discomfort. This study found no significant difference in reepithelialization speed or pain between patched and non-patched eyes.

Area of Science:

  • Ophthalmology
  • Wound Healing Research

Background:

  • Corneal abrasions are common eye injuries.
  • The efficacy of patching in promoting corneal reepithelialization and managing patient discomfort remains a subject of investigation.

Purpose of the Study:

  • To evaluate the impact of eye patching on the rate of corneal reepithelialization.
  • To assess slit-lamp signs of epithelial wound healing.
  • To determine the effect of patching on patient-reported discomfort following corneal abrasion.

Main Methods:

  • A randomized controlled trial involving 46 patients with corneal erosions.
  • Eyes were divided into two groups: patched and non-patched.
  • Daily slit-lamp examinations and fluorescein-stained corneal photography were used to monitor healing, with analysis via computer-assisted planimetry.

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Main Results:

  • No statistically significant differences were observed in the initial erosion size between patched and non-patched eyes.
  • Both linear and surface speeds of reepithelialization were comparable in both groups.
  • Patching did not significantly affect pain, inflammation, or other clinical signs of corneal healing.

Conclusions:

  • Eye patching does not significantly accelerate the reepithelialization process for corneal abrasions.
  • Patching does not alter the pattern of epithelial wound healing or reduce inflammation.
  • The use of eye patches offers no discernible advantage over non-patched treatment for pain relief or healing in corneal abrasions.