What are the discharge instructions for a 60-year-old male with a corneal abrasion who will be prescribed antibiotic eyedrops, such as moxifloxacin (moxifloxacin) or ofloxacin (ofloxacin)?

Discharge Instructions for Corneal Abrasion with Antibiotic Eyedrops

For a 60-year-old male with a corneal abrasion, instill antibiotic eyedrops (such as moxifloxacin) 3 times daily for 7 days until complete healing occurs, and use preservative-free lubricants every 2 hours to promote healing. 1, 2

Medication Administration Instructions

• Antibiotic eyedrops:

  • Moxifloxacin 0.5%: Apply 1 drop to the affected eye 3 times daily for 7 days 1
  • Ofloxacin 0.3%: Apply 1 drop to the affected eye 4 times daily for 7 days 3
  • Wash hands thoroughly before and after applying drops
  • Do not touch the tip of the dropper to any surface, including the eye
  • Wait at least 5 minutes between different eye medications

• Preservative-free lubricants:

  • Apply preservative-free artificial tears every 2 hours to maintain corneal moisture and promote healing 2
  • Use more frequently if the eye feels dry or irritated

Pain Management

• Take oral analgesics as needed for pain (acetaminophen or NSAIDs) 2
• Avoid rubbing the eye as this may worsen the abrasion
• A cold compress may help reduce discomfort and swelling

Activity Restrictions

• Avoid wearing contact lenses until the cornea is completely healed and your doctor approves
• Wear protective eyewear during the day to prevent accidental rubbing
• Consider wearing an eye shield at night to prevent accidental trauma during sleep
• Avoid swimming and hot tubs until the abrasion is completely healed
• Avoid dusty or smoky environments that may irritate the eye

Follow-up Instructions

• Return for follow-up evaluation in 24 hours if:
  • The abrasion is large (>4mm)
  • Pain or symptoms worsen
  • Vision deteriorates
  • There is increased redness, discharge, or light sensitivity 4, 2
• Complete healing typically occurs within 24-72 hours for small abrasions

Warning Signs (Seek Immediate Medical Attention)

• Worsening pain despite medication
• Decreased or blurred vision
• Increased redness or swelling
• Yellow or green discharge
• Lack of improvement within 48 hours 4
• Development of a white spot on the cornea (may indicate infection)

Prevention of Future Injuries

• Wear protective eyewear during high-risk activities (sports, yard work, construction)
• Avoid rubbing eyes when they feel irritated
• Use appropriate eye protection in dusty or debris-filled environments 2

Important Considerations

• Antibiotic drops help prevent infection but may cause mild stinging upon application
• Some patients may experience mild itching or discomfort from the antibiotic drops 3
• Rarely, corneal deposits can form with prolonged use of moxifloxacin, so adhere to the prescribed duration 5
• The evidence for antibiotic use in corneal abrasions is of low to very low certainty, but it remains standard practice to prevent potential infection 6
• Treatment should be continued until complete healing is achieved, with reassessment if symptoms worsen 2