角膜刮傷Corneal abrasion

{{Infobox medical condition (new)

| name            = 角膜刮傷

| image           = Human cornea with abrasion highlighted by fluorescein staining.jpg

| caption         = A corneal abrasion after staining with [[fluorescein]].

| symptoms        = eye pain, [[light sensitivity]]<ref name=Fah2015/>

| onset           = rapid<ref>{{cite book|last1=FNP-C|first1=Maria T. Codina Leik, MSN, APRN, BC|title=Family Nurse Practitioner Certification Intensive Review: Fast Facts and Practice Questions, Second Edition|date=2013|publisher=Springer Publishing Company|isbn=9780826134257|page=112|edition=2|url=https://books.google.ca/books?id=sAwmPqZ4YjIC&pg=PA112|language=en}}</ref>

| duration        = less than 3 days<ref name=Fah2015/>

| causes          = minor trauma, contact len use<ref name=Fah2015/> 

| risks           = 

| diagnosis       = [[slit lamp]] exam<ref name=Fah2015/> 

| differential    = [[corneal ulcer]], [[globe rupture]]<ref name=Fah2015/>

| prevention      = [[eye protection]]<ref name=Fah2015/>

| treatment       =

| medication      =

| frequency       = 3 per 1,000 per year (United States)<ref name=Fah2015/>

| deaths          = 

}}

<!-- Definition and symptoms -->

’’’Corneal abrasion’’’ is a scratch to the surface of the [[cornea]] of the [[eye]].<ref>{{cite web|accessdate=2016-11-06|title=Corneal Abrasion |publisher=National Eye Institute|url=https://nei.nih.gov/faqs/cornea-corneal-abrasion|website=nei.nih.gov}}</ref> Symptoms include pain, redness, [[light sensitivity]], and a feeling like a [[foreign body]] is in the eye.<!-- <ref name=Fah2015/> --> Most people recover completely within three days.<ref name=Fah2015/>

<!-- 定義與症狀 -->

’’’角膜刮傷’’’ 是指[[眼睛]]的[[角膜]]表面刮傷<ref>{{cite web|accessdate=2016-11-06|title=Corneal Abrasion |publisher=National Eye Institute|url=https://nei.nih.gov/faqs/cornea-corneal-abrasion|website=nei.nih.gov}}</ref>,症狀包含眼睛疼痛、紅腫、[[light sensitivity(對光敏感)]]、眼睛內有[[異物]]感<!-- <ref name=Fah2015/> --> Most people recover completely within three days.<ref name=Fah2015/>。

<!-- Cause and diagnosis -->

Most cases are due to minor trauma to the eye such as that which can occur with [[contact lens]] use or from fingernails.<!-- <ref name=Fah2015/> --> About 25% of cases occur at work.<!-- <ref name=Fah2015/> --> Diagnosis is often by [[slit lamp]] examination after [[fluorescein dye]] has been applied.<!-- <ref name=Fah2015/> --> More significant injuries like a corneal ulcer, [[globe rupture]], [[recurrent erosion syndrome]], and a [[foreign body]] within the eye should be ruled out.<ref name=Fah2015>{{cite journal|first1=Faheem|last1=Ahmed|first2=Robert James|last2=House|first3=Brad Hal|last3=Feldman|title=Corneal Abrasions and Corneal Foreign Bodies|journal=Primary Care|date=1 September 2015|issn=1558-299X|pages=363–375|volume=42|issue=3|pmid=26319343|doi=10.1016/j.pop.2015.05.004}}</ref>

<!-- 成因與診斷 -->

角膜刮傷的大部分病例是因為以手指戴上[[隱形眼鏡]]時造成眼睛的微小創傷<!-- <ref name=Fah2015/> --> 大約四分之一的病例是在工作時受傷<!-- <ref name=Fah2015/> -->。醫生診斷時會用[[螢光素]]染色后,再使用[[裂隙燈]]來照<!-- <ref name=Fah2015/> -->。更嚴重的創傷可能是眼睛角膜潰瘍、[[眼球破裂]]、[[recurrent erosion syndrome]]以及眼內有[[異物]]都与角膜劃伤不同。<ref name=Fah2015>{{cite journal|first1=Faheem|last1=Ahmed|first2=Robert James|last2=House|first3=Brad Hal|last3=Feldman|title=Corneal Abrasions and Corneal Foreign Bodies|journal=Primary Care|date=2015年12月1日|issn=1558-299X|pages=363–375|volume=42|issue=3|pmid=26319343|doi=10.1016/j.pop.2015.05.004}}</ref>

<!-- Prevention and treatment -->

Prevention includes the use of [[eye protection]].<!-- <ref name=Fah2015/> --> Treatment is typically with [[antibiotic]] ointment.<!-- <ref name=Fah2015/> --> In those who wear contact lenses a [[fluoroquinolone]] antibiotic is often recommended.<!-- <ref name=Fah2015/> --> [[Paracetamol]] (acetaminophen), [[NSAIDs]], and eye drops such as [[cyclopentolate]] that [[paralysis the pupil]] can help with pain.<ref name=Fah2015/> Evidence does not support the usefulness of [[eye patching]] for those with simple abrasions.<ref name=Lim2016>{{cite journal|last1=Lim|first1=CH|last2=Turner|first2=A|last3=Lim|first3=BX|title=Patching for corneal abrasion.|journal=The Cochrane database of systematic reviews|date=26 July 2016|volume=7|pages=CD004764|pmid=27457359}}</ref> 

<!-- 預防與治療-->

預防方式包括使用[[眼部保護措施]]<ref  name=Fah2015/> -->,治療方式通常是使用 [[抗生素]]軟膏<!-- <ref name=Fah2015/> -->,通常會建議隱形眼鏡的使用者使用[[喹諾酮]]抗生素<!-- <ref name=Fah2015/> -->。 [[Paracetamol]]  (acetaminophen普除通錠)、[[NSAIDs(非類固醇消炎止痛藥)]], 以及眼藥水如[[cyclopentolate(露睫體痺露)]] 以[[paralysis the pupil(麻痺眼球)]]来舒緩疼痛。 <ref  name=Fah2015/>目前尚無證據顯示[[配戴眼罩]]對輕微的撕裂傷口有帮助。<ref  name=Lim2016>{{cite  journal|last1=Lim|first1=CH|last2=Turner|first2=A|last3=Lim|first3=BX|title=Patching  for corneal abrasion.|journal=The Cochrane database of systematic  reviews|date=2016年7月26日|volume=7|pages=CD004764|pmid=27457359}}</ref> 

<!-- Epidemiology and prognosis -->

About 3 per 1,000 people are affected a year in the United States.<!-- <ref name=Fah2015/> --> Males are more often affected than females.<!-- <ref name=Fah2015/> --> The typical age group affected is those in their 20s and 30s.<!-- <ref name=Fah2015/> --> Complications can include [[bacterial keratitis]], [[corneal ulcer]], and [[iritis]].<ref name=Fah2015/> Complications may occur in up to 8% of people.<ref>{{cite book|last1=Smolin|first1=Gilbert|last2=Foster|first2=Charles Stephen|last3=Azar|first3=Dimitri T.|last4=Dohlman|first4=Claes H.|title=Smolin and Thoft’s The Cornea: Scientific Foundations and Clinical Practice|date=2005|publisher=Lippincott Williams & Wilkins|isbn=9780781742061|page=798|url=https://books.google.ca/books?id=93s6aes5ob0C&pg=PA798|language=en}}</ref>

<!-- 病理學與預後 -->

在美國,一年中每 1000 人中會有 3 人發生角膜刮傷,<!--  <ref name=Fah2015/> --> 其中,男性發生的機率高於女性。<!-- <ref name=Fah2015/> -->發生角膜刮傷的典型年齡群大約在20多歲和30多歲,<!-- <ref name=Fah2015/>  --> 併發症包含[[bacterial keratitis(細菌型角膜炎)]]、[[角膜潰瘍]]和 and [[iritis(虹膜炎)]],<ref name=Fah2015/> 發生其他併發症的百分比可能會提升至8%。<ref>{{cite  book|last1=Smolin|first1=Gilbert|last2=Foster|first2=Charles  Stephen|last3=Azar|first3=Dimitri T.|last4=Dohlman|first4=Claes  H.|title=Smolin and Thoft’s The Cornea: Scientific Foundations and  Clinical Practice|date=2005|publisher=Lippincott Williams &  Wilkins|isbn=9780781742061|page=798|url=https://books.google.ca/books?id=93s6aes5ob0C&pg=PA798|language=en}}</ref>

==References==

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