Management of traumatic corneal abrasion by a sample of practicing ophthalmologists in Saudi Arabia

Al-Saleh, Ghadah S.; Alfawaz, Abdullah M.

doi:10.1016/j.sjopt.2017.10.007

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Corneal ulcers and abrasions are categorized as eye emergency conditions [119,146] that require an immediate, holistic approach to prevent the possible complications that may result in unwanted ocular morbidities. The main underlying pathological mechanism is a breach or defect in the corneal structure, which either involves only the superficial epithelial layer in corneal abrasion [11] or may extend up to the stromal layer in corneal ulcer [147]. Corneal injuries often result from mechanical trauma [12], such as from the use of contact lenses or the presence of foreign bodies or fingernail scratches, and can also be attributable to an infective etiology [147,148].…”

Section: Corneal Injurymentioning

confidence: 99%

“…Any defects in these structures Pharmaceuticals 2022, 15, 1419 3 of 26 may compromise the ocular integrity and lead to possible visual-threatening conditions, such as microbial infections, chronic inflammation, and ulceration, that may potentially entail eye blindness if not treated sufficiently. Hence, prompt and appropriate treatment must be imposed in managing eye diseases [11,12]. To date, eye diseases are conventionally treated with topical eye drops or eye ointment.…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic Potential of Honey and Propolis on Ocular Disease

et al. 2022

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Honey and propolis have recently become the key target of attention for treating certain diseases and promoting overall health and well-being. A high content of flavonoids and phenolic acids found in both honey and propolis contributes to the antioxidant properties to scavenge free radicals. Honey and propolis also exhibited antibacterial effects where they act in two ways, namely the production of hydrogen peroxide (H2O2) and gluconic acids following the enzymatic activities of glucose oxidase, which exerts oxidative damage on the bacteria. Additionally, the anti-inflammatory effects of honey and propolis are mainly by reducing proinflammatory factors such as interleukins and tumor necrosis factor alpha (TNF-α). Their effects on pain were discovered through modulation at a peripheral nociceptive neuron or binding to an opioid receptor in the higher center. The aforementioned properties of honey have been reported to possess potential therapeutic topical application on the exterior parts of the eyes, particularly in treating conjunctivitis, keratitis, blepharitis, and corneal injury. In contrast, most of the medicinal values of propolis are beneficial in the internal ocular area, such as the retina, optic nerve, and uvea. This review aims to update the current discoveries of honey and propolis in treating various ocular diseases, including their antioxidant, anti-inflammatory, antibacterial, and anti-nociceptive properties. In conclusion, research has shown that propolis and honey have considerable therapeutic promise for treating various eye illnesses, although the present study designs are primarily animal and in vitro studies. Therefore, there is an urgent need to translate this finding into a clinical setting.

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Section: Corneal Injurymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Therapeutic Potential of Honey and Propolis on Ocular Disease

et al. 2022

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“…[ 6 7 ] Even among practicing ophthalmologists of Saudi Arabia, there was lack of institutional guidelines to manage traumatic corneal abrasion. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of corneal abrasion perception of (primary health care physicians and emergency physicians) and its determinants in Saudi Arabia – A survey

Aalam

Barry

Alharbi

et al. 2021

Middle East Afr J Ophthalmol

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PURPOSE: The purpose of the study was to determine knowledge, practice, and resources available to primary care physicians to diagnose and manage corneal abrasion in Saudi Arabia. METHODS: This cross-sectional survey was held in 2017. Family physicians and emergency physicians attending an international conference were surveyed. The questions related to demography, invagination, and tools available in their institute were collected. The questionnaire on how to diagnose and how they manage case of corneal abrasion was also collected using tablet-based software. RESULTS: Two hundred and twenty-five participants participated in the survey. Exposure to eye patients in two-third of participants was too low (93; 39.6%). Resources for diagnosing corneal abrasion were available in limited centers (51; 21.7%). The rate of good practice to manage corneal abrasion was 21.2% (95% confidence interval 16.0; 26.5). Certified emergency physicians ( P < 0.001) and western and central regions ( P < 0.001) were positively associated with good practice. Availability of slit lamp ( P = 0.2) was not significantly associated with the level of practice to manage corneal abrasion. Fluorescein staining and use of cobalt blue light are essential for diagnosing corneal abrasion as per 40% of participants. About 44.7% of participants replied that antibiotics and lubricants should be used to treat. Nearly one-fourth of participants suggested urgent reference to the ophthalmologist. Use of specific antibiotic varied widely; however, ofloxacin was the main choice of antibiotic in treating corneal abrasion. CONCLUSION: The knowledge and practice among physicians about corneal abrasion were low. Integrating primary eye care into emergency services through provision of required resources and training physicians is recommended.

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