Traumatic eye injury
Including superficial eye injury, penetrating eye injury and orbital blow out fracture.
Treat for 7 days. If foreign body remains in situ discuss duration of treatment with Micro/ID.
In the case of confirmed or suspected CNS penetration, see Intracranial injury (penetrating) / gunshot
Superficial trauma - corneal abrasion
Preferred
chloramphenicol eye ointment (1%) 6-hourly for 7 days
Alternative (preferred in contact lens wearers and/or those with an allergy to chloramphenicol)
ofloxacin eye drops (0.3%) 2 hourly for 2 days then reduce to qds for 7 days
Blowout fracture, penetrating injury, intraocular foreign body, or corneoscleral wound
Preferred (including non-severe and severe penicillin allergy)
co-trimoxazole 960mg po bd for 7 days
If contaminated with soil or excreta: ADD metronidazole 400mg po tds (or 500mg iv tds if NBM)
Consider adding chloramphenicol eye ointment (1%) 6-hourly if corneal abrasion present.
Alternative
Speak to Micro/ID if the above treatment options are contraindicated.