A scratched eye, or corneal abrasion, is a scratch on the clear surface at the front of the eye. Most heal within a few days, but an eye doctor should check it, because a scratch can become infected. At Modo Optometry in Marina del Rey, a scratched eye is seen the same day during business hours, seven days a week. Call (310) 305-2950 first.
A scratched eye usually means a corneal abrasion: a scratch or scrape on the cornea, the clear window over the colored part of the eye and the pupil. The scratch is in the cornea's outer layer of cells. A fingernail, a makeup brush, a tree branch, or the edge of a sheet of paper can do it in a second.
Corneal scratches hurt far more than their size suggests. The cornea is packed with pain-sensing nerves, far more densely than skin, so even a tiny scratch can hurt a lot and set the eye watering.
A scratch on the white of the eye is a different injury. It can leave a spot of blood, a visible line, or general redness, and it tends to be less severe. A scratch on the cornea is the one that can blur vision, and left untreated it can become infected and turn into a corneal ulcer. That is why it is worth having an eye doctor look.
One of the most common causes, including a baby's or a child's fingernails. Keeping a child's nails clipped short lowers the risk.
Tree branches, plant matter, and flying debris while mowing or trimming. A scratch from living material such as a branch or a fingernail carries a risk of fungal infection, which may not show up right away.
Particles that blow into the eye, or that fly off tools while grinding, sawing, or hammering. A particle can also lodge under the upper lid and scratch the cornea with every blink.
Lenses with a rough or torn edge, lenses that do not fit well, lenses worn while the eyes are dry, or too much force putting them in or taking them out. Grit trapped under a lens can scratch as well.
A mascara wand or brush that slips is a frequent cause. Paying attention while applying eye makeup helps prevent it.
Rubbing the eyes hard or often can scratch the cornea, and so can very dry eyes. Very dry eyes also raise the risk of corneal erosion, where the surface layer loosens again after it has healed.
Some people feel it the moment it happens. For others the symptoms show up, or get stronger, a few hours later.
What you were doing when it happened, what hit the eye, when the pain started, and whether you wear contact lenses.
Each eye is tested to see whether the scratch has affected your vision.
The doctor examines the cornea under bright light and magnification. A drop of yellow dye collects wherever the surface is broken, and under blue light it shows the size and depth of the scratch. The doctor also looks for a particle that may still be hiding in the eye.
Any particle still in the eye is removed. You leave with drops or an ointment if you need them, written instructions, and a date to have the eye checked again, because the eye can look fine and not be.
Scratched or painful eye? Call (310) 305-2950. Same-day visits, seven days a week.
Treatment depends on what the exam finds. Most corneal scratches heal within a few days, and larger ones take longer. An eye doctor often prescribes antibiotic eye drops or ointment to keep the scratch from becoming infected, and lubricating drops can ease the discomfort during healing. Check with your eye doctor before using any drop at all. No drugstore drop is made to heal a scratch, and whitening drops can sting a scratched eye without making it heal any faster. Leave contact lenses out until the eye has healed and your eye doctor says when you can wear them again. Sunglasses help if light bothers the eye.
Any scratch on the cornea is worth an exam, ideally the same day. If the eye gets worse, or is still bothering you past the point your eye doctor said it should settle, call back. Pain that returns after the eye seemed to heal, often on waking, needs a prompt visit too. Go to the emergency room first if something has cut or punctured the eye, an object is stuck in it, a chemical has splashed into it (rinse with clean water first, then go), your vision drops suddenly, or the pain is severe. The office is closed after hours, so for those signs at night, an urgent care center or emergency room is the place to go.
A visit for a scratched eye is a medical visit. It bills to your medical insurance, not to a vision plan, with that plan's copay and possibly a deductible. Vision plans cover routine exams and eyewear only.
Medicare and Blue Shield are in network for medical eye care. Bring your medical insurance card and a photo ID.
Plan not in network, or no insurance? You leave with an itemized bill, which an out-of-network plan may partly reimburse. Call (310) 305-2950 and ask before you come in.
Doctor of Optometry since 1994, with certificates in the treatment and management of ocular disease and of glaucoma.
Residency in pediatrics, vision therapy, and neuro-optometric rehabilitation. Glaucoma certified, licensed in California and Washington.
UC Berkeley Doctor of Optometry with a residency in ocular disease. Glaucoma and therapeutic pharmaceutical agent certified.
Office Hours
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| Tuesday | 10:00am – 6:00pm |
| Wednesday | 10:00am – 6:00pm |
| Thursday | 10:00am – 6:00pm |
| Friday | 10:00am – 6:00pm |
| Saturday | 10:00am – 6:00pm |
| Sunday | 11:00am – 4:00pm |
If nothing is stuck in the eye and it was not cut or punctured, flush it gently with saline or clean water to wash out any grit. Blinking can help clear small specks, and so can drawing the upper lid down over the lower one, which lets the lower lashes sweep underneath it. Do not rub the eye, do not touch it with a finger or a cotton swab, and take out contact lenses. Then call an eye doctor.
Many minor scratches do close up within a few days. It is still worth an eye exam, because an untreated scratch can become infected, and a scratch that does not heal can leave a scar that affects vision.
Blurry vision, sensitivity to light, and a headache point to a scratch on the cornea rather than the white of the eye. Severe pain, a sudden drop in vision, or anything that pierced the eye are emergencies. Only an exam with dye shows how deep and how large a scratch is.
Go to the emergency room first for a cut or punctured eye, an object stuck in the eye, a chemical splash after rinsing with clean water, sudden loss of vision, or severe pain. For a scratch without those signs, an eye doctor is the place to go. At Modo Optometry it is seen the same day during business hours. Call (310) 305-2950.
An optometrist examines a scratched eye under a slit lamp at high magnification and stains the surface with dye to show the scratch, which is how its size and depth are judged and a hidden particle is found.
A particle still in the eye, often trapped under the upper lid, feels the same as a scratch. It works the other way too. Once the grit is out, the scratch it left behind can keep the eye feeling gritty. An exam tells the two apart.
Anywhere from a mild ache to sharp, stabbing pain. The cornea is packed with pain-sensing nerves, far more densely than skin, which is why a small scratch can hurt so much.
Not on your own. No drugstore drop is made to heal a scratch, whitening drops can sting a scratched eye, and it is best to ask your eye doctor before using any drop. An eye doctor may prescribe antibiotic drops or ointment to prevent infection.
No. A lens on a scratched cornea holds back healing and raises the chance of infection. Leave them out until the eye has healed, and ask your eye doctor when you can wear them again.
That can be corneal erosion, where the surface layer of the cornea has not attached firmly and loosens again, often when the eyelids open in the morning. A past corneal scratch raises the risk. Have it checked by an eye doctor.
Call Modo Optometry at (310) 305-2950 and come in the same day, seven days a week during business hours. Take out contact lenses, do not rub the eye, and bring your medical insurance card.