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April 10, 1987

The Treatment of Recurrent Corneal Erosion

JAMA. 1987;257(14):1899. doi:10.1001/jama.1987.03390140068019

To the Editor.—  I disagree with the information on recurrent corneal erosion in the QUESTIONS AND ANSWERS section of your Dec 5,1986, issue.1The diagnosis must first be confirmed by slit-lamp (biomicroscope) examination. Many times the symptom of acute morning eye pain results from nocturnal lagophthalmos with subsequent corneal epithelial defects rather than from an erosion. Their appearance is quite different on slit-lamp examination.Usually, recurrent corneal erosion starts with excruciating pain on first opening the eye in the morning. The upper lid adheres to the cornea and literally rips the poorly adhering epithelium off the cornea. Therefore, all efforts should be made to keep the eye lubricated, especially at night. I have found that a nonpreserved, nonmedicated ophthalmic ointment, such as Duolube or Hypotears ophthalmic ointment, works well. If there is a corneal vesicle or localized edema, I will use a nonpreserved 5% sodium chloride ointment such as