The medical term for a scratched eye is a corneal abrasion. Your cornea is the thin layer of tissue that covers your iris and pupil. Most of the time, a scratched cornea is a minor injury that can heal itself in 1 to 5 days.
Your cornea contains many nerve endings that alert your brain that something is wrong when it’s injured. Even a minor injury can cause sharp pain that can affect your sleep quality.
The following tips may help minimize your pain and help you get a good night’s sleep.
Sleeping can help speed up your body’s healing process, but your scratched eye may make getting rest difficult. Here are some tips to help you minimize your pain and help you fall asleep.
1. Avoid sleeping on the side of the affected eye
Sleeping on the side of your injury may put direct pressure on your eyeball, which makes your pain worse. Sleeping on your back or your opposite side can help minimize pressure on your eye.
2. Take pain relievers
If the pain from your scratched eye is affecting your sleep, you may want to take a pain reliever before bed to dull the ache. You can take acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. If your pain is severe, your eye doctor may give you pain-relieving eyedrops.
Adults can take 650 to 1,000 milligrams (mg) of acetaminophen every 4 to 6 hours and shouldn’t exceed 3,000 mg per day. The recommended dose of ibuprofen is 200 to 400 mg every 4 to 6 hours, and you shouldn’t exceed 3,200 mg per day.
3. Use eyedrops
Eyedrops may help keep your eyes from drying out during the night.
When your eyes are dry, increased friction between your eyelid and your cornea can worsen your pain. Eyedrops can keep your eyes moist and reduce friction.
You should speak with a doctor before using eyedrops. Some types like redness-reducing eyedrops may increase your pain.
4. Apply a cold compress
Applying a cold compress over your closed eyelids may help reduce inflammation and pain. You can make a cold compress by putting ice cubes in a plastic bag and wrapping the bag in a cloth. A wet paper towel may also help.
You can keep the cold compress over your eye for up to 20 minutes.
5. Dim the lights
Eye pain after a scratch is caused by irritation of ciliary nerves and spasms of your ciliary muscles that change the shape of your eye lens. These muscle spasms may irritate your
Keeping your lights dim may help you avoid irritating your eye. Dimming your screens may also help reduce your eye pain.
Even a minor scratch can be painful due to the high concentrations of nerve endings in your cornea. Some of the signs that you may have scratched your cornea include:
- pain that onsets suddenly
- tearing up
- burning or stinging
- urge to blink rapidly
- redness
- decreased vision
- double vision
- light sensitivity
- persistent feeling that you have something in your eye
If you’re dealing with a corneal scratch, you’ll likely only notice your symptoms in one eye unless you injured both sides.
Treatment for a scratched eye starts with rinsing your eye with a sterile saline solution or eyedrops right away to clear any particles. If that’s not available, use clean water. Blinking rapidly may also help clear your eye. It’s a good idea to avoid rubbing your eye or touching it directly.
Most of the time, scratches will heal by themselves after a few days.
Your eye doctor may give you prescription numbing eyedrops to help manage pain and light sensitivity. If they think you’re at risk for an infection, they may give you antibiotic eyedrops. Prescription steroid eyedrops can also help reduce inflammation and scarring.
Most eye scratches will heal by themselves in a few days, but it’s still a good idea to see your eye doctor so they can assess the scratch.
An eye doctor can put a dye called fluorescein in your eye that highlights the scratch under a device called a slit lamp. This dye helps them figure out the seriousness of the injury and give you the best treatment.
Medical emergencyGo to an emergency room if you experience:
- severe pain
- inability to open your eye
- vision loss
Most of the time, a scratched cornea is a minor injury that will heal by itself. Due to the high density of nerve endings in your cornea, even a small injury can be painful.
To minimize pain while sleeping, it’s a good idea to avoid sleeping on the side of your injured eye. If the pain is still affecting your sleep, you may benefit from taking pain relievers before bed.
It’s a good idea to visit an eye doctor after your injury so these can assess the damage and help you reduce the chances of developing scarring.
As an ophthalmology enthusiast with a profound understanding of eye health and injuries, I can assure you that managing a scratched eye, or corneal abrasion, requires careful consideration and knowledge. My expertise is rooted in a comprehensive understanding of ocular anatomy, the physiology of the cornea, and the nuances of eye care.
The cornea, the thin layer covering the iris and pupil, is a highly sensitive structure containing numerous nerve endings. A scratched cornea, though often a minor injury, can cause significant discomfort, leading to pain that may even impact sleep quality. The following concepts are crucial to understanding and addressing a scratched eye, as outlined in the provided article:
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Corneal Abrasion: This term refers to a scratch on the cornea, the transparent front part of the eye. The cornea plays a vital role in vision, and any injury to this structure can lead to pain and other symptoms.
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Corneal Nerve Endings: The cornea is densely populated with nerve endings that transmit signals to the brain when the cornea is injured. This can result in sharp pain, affecting sleep quality.
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Tips for Sleeping with a Scratched Eye:
- Avoid Sleeping on the Affected Side: Direct pressure on the injured eye can exacerbate pain.
- Pain Relief: Over-the-counter pain relievers like acetaminophen or NSAIDs can help alleviate pain. Severe cases may require prescription eye drops.
- Eyedrops: Moisturizing eyedrops can prevent dryness, reducing friction between the eyelid and cornea.
- Cold Compress: Applying a cold compress over closed eyelids helps reduce inflammation and pain.
- Dim the Lights: Light sensitivity can be heightened after a corneal scratch; dimming lights and screens can help minimize irritation.
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Signs of a Scratched Eye:
- Sudden onset of pain.
- Tearing up, burning, or stinging sensations.
- Rapid urge to blink.
- Redness, decreased vision, double vision.
- Light sensitivity and a persistent feeling of having something in the eye.
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Treatment for a Scratched Eye:
- Immediate Rinse: Rinsing the eye with sterile saline or clean water is crucial to remove any particles.
- Avoid Rubbing: Rubbing the eye should be avoided to prevent further damage.
- Self-Healing: Most scratches heal on their own within a few days.
- Prescription Eyedrops: These may be prescribed for pain management, infection prevention, or to reduce inflammation and scarring.
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When to See a Doctor:
- Most scratches heal naturally, but it's advisable to consult an eye doctor for assessment.
- Emergency situations, such as severe pain, inability to open the eye, or vision loss, require immediate medical attention.
In conclusion, while a scratched cornea is typically a minor injury, proper care is essential to prevent complications. Seeking professional medical advice ensures an accurate assessment and appropriate treatment, minimizing the risk of scarring and promoting optimal healing.
