What is the treatment for a coronal (crown) abrasion with discharge?

From the Guidelines

The treatment for a coronal abrasion with discharge should prioritize preventing acute bacterial keratitis, particularly in patients who wear contact lenses or have suffered trauma, by prescribing topical antibiotics. When managing a coronal abrasion with discharge, it is crucial to consider the risk factors for microbial keratitis, such as contact lens wear or trauma, as highlighted in the bacterial keratitis preferred practice pattern 1. Given the increased risk of infection, topical antibiotics should be prescribed to prevent acute infection in patients with a corneal abrasion who wear contact lenses or suffered trauma 1. Key considerations in the treatment include:

• Prescribing topical antibiotics to prevent acute bacterial keratitis
• Avoiding patching the eye early on, as this may increase the risk of secondary bacterial keratitis 1
• Considering the potential for increased resistance of certain bacteria to topical fluoroquinolones, as noted from 2005 to 2015 1
• Recognizing that prophylactic topical antibiotics following corneal abrasion can prevent ulceration when treatment is started within 24 hours of the abrasion 1 In clinical practice, the goal is to prevent infection and promote healing, thus, a broad-spectrum topical antibiotic is recommended for any patient presenting with corneal abrasion following trauma or contact lens wear 1.

From the FDA Drug Label

Directions adults and children 2 years of age and older clean the affected area apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily may be covered with a sterile bandage children under 2 years of age: ask a doctor The treatment for a coronal (crown) abrasion with discharge is to clean the affected area and apply a small amount of bacitracin (TOP) 1 to 3 times daily. The affected area may be covered with a sterile bandage. For children under 2 years of age, it is recommended to ask a doctor 2.

From the Research

Coronal Abrasion Discharge Treatment

The treatment for a coronal (crown) abrasion with discharge is not directly addressed in the provided studies, as they focus on corneal abrasions. However, we can look at the general principles of treating abrasions and the use of antibiotics in such cases.

• The use of topical antibiotics is a common approach in managing corneal abrasions to prevent infection 3, 4, 5.
• Studies have shown that topical antibiotic prophylaxis may be beneficial in preventing ocular infection or accelerating epithelial healing following a corneal abrasion, but the evidence is not conclusive 3.
• Pressure patching, bandage contact lens, or ointment alone may be equally effective in reducing the abrasion area or reducing pain in cases of traumatic corneal abrasions 4, 5.
• Topical antibiotics may be useful in preventing streptococcal pyoderma, especially in children known to be at increased risk for such infection 6.
• A newly formulated topical triple-antibiotic ointment has been shown to minimize scarring in dermabrasion wounds 7.

Key Considerations

• The treatment of coronal abrasions should focus on promoting healing, preventing infection, and minimizing scarring.
• Topical antibiotics may be considered as part of the treatment regimen, but their use should be guided by the severity of the abrasion and the risk of infection.
• Further research is needed to determine the most effective treatment approaches for coronal abrasions with discharge.