Which treatment is not recommended for discharge in patients with corneal abrasion?

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Topical anesthetics are not recommended for discharge in patients with corneal abrasions because, while they may provide temporary relief from pain, they can hinder the healing process of the corneal epithelium. Prolonged use of topical anesthetics can lead to additional corneal damage and complications like corneal ulcers. After evaluation and treatment in an emergency setting, it's essential to ensure that patients are sent home with strategies that promote healing and prevent further injury or complications.

In contrast, antibiotic drops are advised to prevent infection in cases where the abrasion may expose the cornea to pathogens. Saline irrigation can be beneficial in flushing out foreign particles and preventing further irritation. Cycloplegic drops are often used to relieve pain by paralyzing the ciliary muscle and reducing spasm, contributing positively to the management of pain associated with corneal abrasions. Thus, while antibiotic drops, saline irrigation, and cycloplegic drops serve to aid in the recovery and comfort of the patient, topical anesthetics pose a risk that makes them unsuitable for discharge.

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