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Is Atropine Advisable For Treating A Corneal Abrasion?
Question: Sir my son underwent a corneal foreign body removal 3 weeks back. He is 2 years old. The metal foreign body was not in the vision axis. It was located 5'o clock. Doctor said the rust ring was deep embedded, he could remove only 85% of it. The residue will clear on its own. After 3 weeks the cornea is not healed properly. Again doctor said it will take time and the crater will go off. For the past 3 weeks he was administered with TOBA and Lubitop. Please suggest should I consult another doctor. I live in XXXXXXX
Brief Answer:
Consult another doctor for need of atropine in such case
Detailed Answer:
Hi,
Your doctor was in fact doing correct. If the metal foreign body was deep seated it cannot be removed and if probed will lead to corneal ulcer and puncture. There would be staining on the cornea for few weeks and it takes time to clear.
If I were the treating doctor I would prescribe 1% atropine eye ointment . I would also ensure eye patching to avoid sun exposure.
I suggest to take consult with same or another Pediatric Ophthalmologist to confirm my opinion.
Consult another doctor for need of atropine in such case
Detailed Answer:
Hi,
Your doctor was in fact doing correct. If the metal foreign body was deep seated it cannot be removed and if probed will lead to corneal ulcer and puncture. There would be staining on the cornea for few weeks and it takes time to clear.
If I were the treating doctor I would prescribe 1% atropine eye ointment . I would also ensure eye patching to avoid sun exposure.
I suggest to take consult with same or another Pediatric Ophthalmologist to confirm my opinion.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my doctor says the more you irritate the more it will take time to heal. he says let the nature take its own time to heal. today i consulted another doctor, he says the cornea is not healed at all . it looks very rugged and prescribed acuvail drop s and genteal gel. but my doctor is one of the XXXXXXX most doctors in XXXXXXX
Brief Answer:
Physical details are better
Detailed Answer:
Hi,
If the cornea has not healed at all in three weeks it better to give these acuvail S and Genteal. THe latter is actually artificial tears which moisturizes and helps heal.
Every person responds differently when it comes to healing esp children.
I understand your confusion now but physical details are more clearer when you examine. You should have asked the average time to heal completely? After what time you should start worrying about non healing to each doctors who actually seen it.
Physical details are better
Detailed Answer:
Hi,
If the cornea has not healed at all in three weeks it better to give these acuvail S and Genteal. THe latter is actually artificial tears which moisturizes and helps heal.
Every person responds differently when it comes to healing esp children.
I understand your confusion now but physical details are more clearer when you examine. You should have asked the average time to heal completely? After what time you should start worrying about non healing to each doctors who actually seen it.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok thanks, will the residual rust will away by itself.
Brief Answer:
Yes with the genteal S drop
Detailed Answer:
I am glad I was of some help to you. The rust will go off with Genteal drops which your other doctor prescribed.
Yes with the genteal S drop
Detailed Answer:
I am glad I was of some help to you. The rust will go off with Genteal drops which your other doctor prescribed.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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