Corneal abrasions
The regional formulary will not cover all eventualities for infections medicines choices. As with any condition; patient specific factors and sensitivities need to be considered. Please consider this regional formulary advice alongside any relevant local Board guidelines.
For general guidance on administration of drugs to the eye and on control of microbial contamination of eye drops, please see the ‘General information on eye drops’ recommendations.
Treatment of corneal abrasions
Refer to community optometrist.
Chloramphenicol
Chloramphenicol 1% eye ointment
Every 6-8 hours for 3-7 days. Frequency and duration are guided by severity and response to treatment.
Lubricating ointment.
Xailin Night
Xailin Night eye ointment preservative free
Frequency and duration are guided by severity and response to treatment.
Prescribing Notes:
- Corneal abrasions may be treated with chloramphenicol eye ointment +/- lubricants. Optional lubricating ointment may be added in-between (i.e. alternating with the chloramphenicol).
- Lubricating eye drops (e.g. carbomer, sodium hyaluronate) may also be recommended, with the frequency of administration to be decided based on initial presentation and previous history of corneal abrasion.
- Eye lubricants are available via the Pharmacy First service, or to purchase from community pharmacies.
- Simple analgesics such as paracetamol or ibuprofen may be required for pain relief.
- Following healing, local ophthalmologists recommend lubricating eye ointment at night for 3-6 months in most cases. This is important when there is underlying pathology such as trauma or map-dot-fingerprint (MDF) corneal dystrophy to prevent recurrent erosion syndrome.
History Notes
30/07/2026
Regional formulary chapter launched.