par Vandorselaer, Thierry;Vanthier, L;Caspers, Laure 
Référence Journal français d'ophtalmologie, 24, 10, page (1025-33)
Publication Publié, 2001
Référence Journal français d'ophtalmologie, 24, 10, page (1025-33)
Publication Publié, 2001
Article révisé par les pairs
| Résumé : | Purpose: To evaluate the benefit of using therapeutic soft contact lenses in association with NSAID and antibiotic drops for the treatment of traumatic corneal abrasions. The impact on patient pain and on the incapacity to work are analyzed. Methods: The treatment of 176 consecutive patients presenting with traumatic corneal abrasion was evaluated in a prospective study. Therapeutic contact lenses, NSAID drops (diclofenac), and antibiotic drops (tobramycin) without cycloplegia were used. Results: Psychometric evaluation of pain revealed sufficient comfort with this regimen, allowing 123 patients (80.39%) to immediately go back to their occupations. This return to usual occupations varied with the size of the abrasion: it was obtained in 80 patients (93.02%) from the "foreign body" group (size of abrasion <10 mm2). In the "other etiologie" group, this ability was obtained in 30 of 41 patients (73.17%) presenting an abrasion smaller than 10mm2, in 6 of 13 patients (46.15%) presenting an abrasion between 10 and 20mm2, and in 7 of 9 patients (77.78%) presenting an abrasion between 20 and 30mm2. All the patients with an abrasion longer than 30mm2 were unable to continue usual occupations. No serious complications appeared during treatment. Conclusion: Treatment of traumatic corneal abrasion with a contact lens associated with topical NSAID drops sufficiently reduced the pain to allow 80.39% of the patients to go return immediately to their normal activities. The combined use of soft contact lenses, NSAID drops, and antibiotic drops without cycloplegia appeared to be an effective treatment for traumatic corneal abrasion. |
