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Patients who signed informed consent to participate in the study will receive corneal epithelial deplasia. The patient was instructed to follow up closely in the following year, and the recurrence of the patient was collected through wechat follow-up.
Traumatic corneal abrasion (TCA) refers to the injury or defect of the corneal epithelium caused by a foreign object (such as a nail, a tree branch, etc.), which is characterized by severe eye pain accompanied by red eyes, blepharospasm, photophobia, tearing, and a distinct foreign body sensation. TCA is one of the common eye injuries and ophthalmic emergencies, accounting for about 5%-10% in ophthalmic emergencies. Methods: The investigators conducted a clinical trial in adult patients with corneal trauma at the Zhongshan Ophthalmology Center of Sun Yat-sen University. Patients who signed informed consent to participate in the study were provided with corneal epithelial debridement. Patients were instructed to follow closely for the following year, and a pain log of the patient was collected at the last ophthalmology clinic visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| debridement+traditional treatment | Experimental | The experimental group receives debridement of the abrasion wound before receiving traditional treatment including evofloxacin eye drops + befushu QID * for 14 days, four times a day, and the corneal contact lens was worn for 2 weeks. |
|
| traditional treatment | Active Comparator | The traditional group receives evofloxacin eye drops + befushu QID * for 14 days, four times a day, and the corneal contact lens was worn for 2 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| corneal debridement of corneal abrasion | Biological | Surgical debridement for traumatic corneal epithelial abrasions |
|
| Measure | Description | Time Frame |
|---|---|---|
| wound recurrence | Wound recurrence during 12 months after treatment. | month 12 after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of wound infection | The incidence of wound infection during 12 months after treatment. | week 1, week 2, month 1, month 2, month 3, month 6, month 9, and month 12. |
| The grading of pain for eyes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhaohui Yuan, Doctor's degree | Contact | 13570961208 | yuanzhaohui.@gzzoc.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhaohui Yuan | Guangzhou | Guangdong | 510000 | China |
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| ID | Term |
|---|---|
| D065306 | Corneal Injuries |
| ID | Term |
|---|---|
| D005131 | Eye Injuries |
| D005151 | Facial Injuries |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
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Patients diagnosed with traumatic corneal epithelial abrasions are treated by complete debridement of the corneal epithelium
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The participants didn't know where they were grouped,and the experimenters did not know about the trial either.
The degree of pain is evaluated during 12months after wounded. VRS(verbal rating scale)is used to evaluate the grading of pain,which is a line to describe the degrees of the pain that patients suffer from the disease, and the high scores is a worse outcome.
The 5-point Verbal Rating Scale (VRS-5). ( )Mild ( )Discomforting ( )Distressing ( )Horrible ( )Lxcruciaring
| week 1, week 2, month 1, month 2, month 3, month 6, month 9, and month 12. |
| Corneal scar | It is evaluated by the doctor in follow-up during 12 months. The haze of the corneal scar,and the high scores is a worse outcome. The degrees : 0-clear cornea 0.5 - trace/just perceptible
| week 1, week 2, month 1, month 2, month 3, month 6, month 9, and month 12. |
| D009422 |
| Nervous System Diseases |
| D003316 | Corneal Diseases |
| D005128 | Eye Diseases |
| D014947 | Wounds and Injuries |