Corneal Ulcer Management
Corneal ulcers are serious ocular conditions characterized by open sores on the cornea, often caused by infections, injuries, or underlying eye diseases. Prompt and effective management is crucial to prevent vision loss and complications.
Diagnosis
Diagnosis begins with a comprehensive eye examination, including slit-lamp biomicroscopy to assess the size, depth, and location of the ulcer. Additional tests such as corneal cultures or imaging may be performed to identify the underlying cause and guide treatment
Medical Treatment
Topical antimicrobial agents, such as antibiotics or antifungals, are the mainstay of medical therapy to control infection and promote ulcer healing. Depending on the severity and microbial profile, combination therapy or fortified antibiotics may be prescribed. Lubricating eye drops and cycloplegic agents may also be used to alleviate discomfort and reduce inflammation. Surgical Intervention
In cases of large, deep, or non-healing ulcers, surgical intervention may be necessary. Procedures such as corneal debridement, amniotic membrane transplantation, or corneal grafting may be performed to promote tissue repair and restore corneal integrity.
Monitoring and Follow-up
Regular monitoring of the ulcer’s progress and response to treatment is essential. Adjustments to medication or surgical interventions may be made based on clinical findings. Close follow-up care ensures optimal healing and reduces the risk of complications such as corneal scarring or perforation.
