Which is an appropriate initial management for a corneal abrasion?

• A. Artificial Tears
• B. Topical steroid
• C. Bandage contact lens
• D. Oral analgesic

Answer: (A)

Keeping the corneal surface moist with lubrication is the first step in managing a corneal abrasion. Artificial tears provide a thin, protective film over the epi­thelium, reducing friction from blinking and environmental exposure, which supports epithelial migration and healing. This simple measure also improves comfort and is readily used in almost all cases of minor abrasions.

Topical steroids are not started initially because they can slow healing and raise the risk of infection or complications in an exposed corneal surface. A bandage contact lens can be helpful in select, larger or persistent abrasions under careful supervision, but it carries a risk of infection and usually requires concurrent antibiotic coverage and follow-up—so it isn’t the standard first step. Oral analgesics may help with pain, but they don’t address the tissue repair necessary for the cornea to heal, so they’re supportive rather than primary therapy.