Corneal Ulcers Explained: Diagnosis, Treatment, and Preventive Care

Corneal ulcers are open sores that form on the clear front surface of your eye, called the cornea. These ulcers can cause pain, redness, and even vision loss if not treated quickly. Because corneal ulcers are serious, it is important to know their causes, symptoms, and how to prevent them. Early treatment for corneal ulcers can help protect your eyesight.

What Are Corneal Ulcers?

A corneal ulcer is a small, open wound on the cornea. The cornea is the clear, dome-shaped layer that covers the front of your eye. It helps focus light so you can see clearly. When germs or injuries damage the cornea, an ulcer can form. Corneal ulcers are often painful and may lead to vision problems if left untreated.

Common Causes of Corneal Ulcers

Corneal ulcers can develop for many reasons. However, infections are the most common cause. Here are some main causes:

  • Bacterial infections: Often linked to contact lens use or eye injuries.
  • Viral infections: Herpes simplex virus can cause corneal ulcers.
  • Fungal infections: Sometimes caused by plant material or contaminated water.
  • Eye injuries: Scratches or foreign objects can lead to ulcers.
  • Dry eyes: Severe dryness can damage the cornea.
  • Allergic eye diseases: Long-term inflammation may increase risk.
  • In addition, poor contact lens hygiene can raise your risk of developing corneal ulcers.

    Symptoms to Watch For

    Corneal ulcer symptoms can appear suddenly. Early signs are important to notice. Look for these symptoms:

  • Eye pain or discomfort
  • Redness in the eye
  • Feeling like something is in your eye
  • Blurred or decreased vision
  • Watery eyes or discharge
  • Sensitivity to light
  • Swelling of the eyelids
  • If you notice any of these corneal ulcer symptoms, seek medical help right away. Quick care can prevent serious problems.

    How Corneal Ulcers Are Diagnosed

    Eye doctors use several steps to diagnose corneal ulcers. First, they will ask about your symptoms and eye health history. Next, they will examine your eyes with a special microscope called a slit lamp. Sometimes, doctors use a dye to highlight the ulcer. In some cases, they may take a small sample from the ulcer to find out which germ is causing the problem. This helps guide the best treatment for corneal ulcers.

    Treatment Options for Corneal Ulcers

    Treatment for corneal ulcers depends on the cause. However, early treatment is always important. Common options include:

  • Antibiotic, antiviral, or antifungal eye drops: These fight infections.
  • Pain relief drops: These help reduce discomfort.
  • Oral medicines: Sometimes needed for severe infections.
  • Eye patching: Rarely used, but may help in some cases.
  • Surgery: In rare cases, a corneal transplant may be needed if the ulcer does not heal.
  • Always follow your doctor’s instructions closely. Do not stop treatment early, even if your eye feels better.

    Prevention Tips for Healthy Eyes

    Preventing corneal ulcers is possible with good eye care. Try these tips to protect your eyes:

  • Wash your hands before touching your eyes or contact lenses.
  • Clean and store contact lenses as directed.
  • Never sleep with contact lenses unless your doctor says it is safe.
  • Avoid swimming or showering while wearing contact lenses.
  • Wear protective eyewear during sports or when working with sharp objects.
  • Do not rub your eyes, especially if they feel irritated.
  • See an eye doctor for regular check-ups.
  • By following these steps, you can lower your risk of developing corneal ulcers.

    When to See an Eye Specialist

    If you notice any signs of a corneal ulcer, don’t wait. Seek help from an eye specialist, like Dr. Mihir Paranjpe, right away. Early treatment can prevent vision loss and other serious complications. Even mild symptoms should be checked, especially if you wear contact lenses or have had eye injuries before.

    Consult Dr. Mihir Paranjpe, an eye specialist, for personalized advice if you notice any symptoms of corneal ulcers.