Patient presents with complaints consistent with corneal abrasion, possibly a scratched cornea.  Symptoms include foreign body sensation, eye pain, photophobia, tearing, and blurred vision.  Onset of symptoms occurred [timeframe] after [mechanism of injury, e.g., contact lens insertion, exposure to dust, fingernail scratch].  Visual acuity measured [OD: right eye measurement] and [OS: left eye measurement].  Fluorescein staining revealed a [description of staining pattern, e.g., linear abrasion, superficial punctate keratitis] located in the [location of abrasion, e.g., central cornea, inferior cornea].  Corneal edema and or injection noted.  No signs of corneal ulceration or perforation observed.  Anterior chamber clear.  Assessment: Corneal abrasion, scratched cornea.  Plan:  Patient educated on corneal abrasion care.  Prescribed [medication, e.g., ophthalmic antibiotic ointment, topical nonsteroidal anti-inflammatory drops].  Pain management discussed, including over-the-counter analgesics.  Follow-up scheduled in [timeframe] to assess healing and rule out complications such as corneal infection or recurrent corneal erosion.  Patient advised to avoid rubbing eyes and to discontinue contact lens wear until further evaluation.  ICD-10 code: [relevant ICD-10 code, e.g., S05.00XA, S05.11XA depending on laterality and initial encounter].  Differential diagnoses considered included corneal foreign body, keratitis, and dry eye syndrome.