What is a common initial treatment for corneal abrasions?

• A. Topical antibiotics
• B. Oral antibiotics
• C. Topical steroids
• D. Eye patching

Answer: (A)

Corneal abrasions expose the underlying stroma to infection, so preventing bacterial contamination as the epithelium heals is the priority. Topical broad-spectrum antibiotics deliver high concentrations right at the surface, offering immediate protection against common organisms (staphylococci, streptococci, and other typical ocular pathogens) with minimal systemic effects. This approach supports healing, reduces the risk of keratitis, and aligns with the goal of keeping the ocular surface clean and comfortable during the recovery. Avoid initiating steroids in the acute phase because they can delay epithelial healing and may increase infection risk. Oral antibiotics aren’t needed for uncomplicated abrasions since infection control is achievable with topical therapy alone, and routine eye patching isn’t recommended because it can trap moisture and bacteria and may slow healing.