Page 215 - ATP-P 11th Ed

8. For corneal abrasions: monitor daily for worsening signs and symptoms of a corneal
ulcer (increasing pain and development of a white or gray spot at abrasion site). DO
NOT PATCH.
9. Assess using fluorescein drops daily – abrasions should get progressively smaller.
Continue antibiotic drops until 24 hours after cornea becomes fluorescein negative (no
bright yellow spot).
10. IF CORNEAL ULCER PRESENTS: Increase gatifloxacin (Zymar ) drops to q2hr
®
and Priority evacuation.
Disposition SECTION 2
1. Evacuation may not be needed for corneal abrasion if improving with treatment.
2. Urgent evacuation for LASIK flap dislocation
3. Priority evacuation for Corneal Ulcer, conjunctivitis onset <12hours after vesi-
cant exposure.

Eye Pathology

Conjunctivitis

Partially Dislocated LASIK Flap
(Notice smooth semicircular dye stained
cut at the 4–6 o’clock position on the
corneal margin. This represents the surgical
incision that has failed to completely heal).

204 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 205