{"id":8860,"date":"2020-11-12T11:54:25","date_gmt":"2020-11-12T11:54:25","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=8860"},"modified":"2021-12-13T13:53:35","modified_gmt":"2021-12-13T13:53:35","slug":"corneal-ulcers-keratitis","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-ulcers-keratitis\/","title":{"rendered":"Corneal Ulcers"},"content":{"rendered":"<h2><b>What is a corneal ulcer?<\/b><\/h2>\n<p>The <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/ocular-anatomy-the-front-of-the-eye\/\">cornea<\/a> is the translucent, outermost layer of the eye that covers the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/ocular-anatomy-the-front-of-the-eye\/\">pupil and iris.<\/a> The cornea plays a vital role in bending light to allow it to pass through the pupil and enter the eye.<\/p>\n<p>A corneal ulcer, also known as keratitis, is an open sore that develops on the cornea and appears as a white or grey spot on the eye. Corneal ulcers are typically caused by an <a href=\"https:\/\/www.optometrists.org\/dry-eye\/conjunctivitis-and-eye-infections\/\">eye infection<\/a>, <a href=\"https:\/\/www.optometrists.org\/dry-eye\/what-is-dry-eye-syndrome\/\">severe dry eyes<\/a>, an <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/children-and-eye-emergencies\/\">eye injury<\/a>, or another eye condition.<\/p>\n<p><b>Corneal ulcers can cause severe pain, vision problems and even permanent vision loss if not treated properly.<\/b><\/p>\n<h2><b>Symptoms of a corneal ulcer<\/b><\/h2>\n<p><i>If you experience any of the following symptoms, contact your eye doctor as soon as possible:<\/i><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Red eyes<\/li>\n<li style=\"font-weight: 400;\">Eye pain and soreness<\/li>\n<li style=\"font-weight: 400;\">Blurred vision<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">Tearing<\/li>\n<li style=\"font-weight: 400;\">Discharge<\/li>\n<li style=\"font-weight: 400;\">Foreign body sensation<\/li>\n<li style=\"font-weight: 400;\">Eyelid swelling<\/li>\n<li style=\"font-weight: 400;\">White or grey spot on cornea<\/li>\n<\/ul>\n<p>If you suffer from any of these symptoms <a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>contact an eye doctor near you<\/strong><\/a>.<\/p>\n<h2><b>What causes a corneal ulcer to develop?<\/b><\/h2>\n<p><b>Corneal ulcers are most commonly caused by an eye infection.\u00a0<\/b><\/p>\n<p><b>Bacterial infection. <\/b>This is the most common type of infection that can lead to corneal ulcers. It is generally caused by poor <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/common-contact-lens-problems\/the-dos-and-donts-of-wearing-contact-lenses\/\">contact lens hygiene<\/a>, dirty contact lenses, or wearing contact lenses longer than directed.<b>\u00a0<\/b><\/p>\n<p><b>Viral infection.<\/b> The herpes simplex virus can cause cold sores around the mouth as well as sores on the cornea.<\/p>\n<p>This virus is most common among people who are overly stressed, have a weakened immune system, or are frequently exposed to sunlight and <a href=\"https:\/\/www.optometrists.org\/optical\/sunglasses\/\">UV radiation<\/a>.<\/p>\n<p>The varicella virus that causes the chicken pox and shingles can also lead to the development of a corneal ulcer.<\/p>\n<p><b>Fungal infection.<\/b> Misuse of steroid eye drops or inadequate contact lens hygiene can cause a fungal infection that can lead to a corneal ulcer. Fungal infections can also develop following an eye injury that involves plant material, such a small leaf particle or even tiny wooden debris, though they also frequently occur in people with weakened immune systems.<\/p>\n<p><b>Parasitic (acanthamoeba) infections. <\/b>This type of infection is rare, but can lead to permanent vision loss.\u00a0 Acanthamoeba are microscopic, single-celled amoeba found in freshwater and soil. If this parasite comes in contact with the eye, a serious infection can result. This type of infection is most common among contact lens wearers, when water is used in place of prescribed contact lens solutions.<\/p>\n<h3><b>Additional causes<\/b><\/h3>\n<p><b>Corneal ulcers can also be caused by a corneal injury that increases the risk of infection, or an eye condition that affects the normal lubrication of the eye.<\/b><\/p>\n<p>The most common causes include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/what-is-a-corneal-abrasion\/\">Corneal abrasion (scratch)<\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/children-and-eye-emergencies\/\">Chemical burn on the eye<\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/dry-eye\/what-is-dry-eye-syndrome\/\">Dry eye syndrome<\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/eye-conditions\/bells-palsy\/\">Bell\u2019s palsy<\/a><\/li>\n<li style=\"font-weight: 400;\">Eye inflammatory disorders<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>Contact an eye doctor<\/strong><\/a> near you if you suffer from server pain or vision problems.<\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/what-is-a-corneal-abrasion\/\"><strong>Corneal Abrasions (Scratch)<\/strong><\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>How is a corneal ulcer diagnosed?<\/b><\/h2>\n<p>Corneal ulcers are diagnosed during an <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/comprehensive-eye-exams\/\">eye exam<\/a>.<\/p>\n<p><b>If you think you may have a corneal ulcer, it is important to seek treatment as soon as possible to prevent permanent vision damage and vision loss.\u00a0<\/b><\/p>\n<p>To determine the presence of a corneal ulcer, your eye doctor will insert drops into your eye containing a fluorescent dye, called fluorescein. This dye will help your doctor to locate the ulcer by highlighting the corneal damage when exposed to blue light.<\/p>\n<p>Your eye doctor may also numb your eye with drops to gently swab your eye and collect a sample of the ulcer to send to the laboratory. This will help your doctor to determine what type of infection has caused the ulcer, and facilitate the most effective treatment plan.<\/p>\n<h2><b>How is a corneal ulcer treated?<\/b><\/h2>\n<p><b>Most corneal ulcers can be treated with an antibiotic, antiviral or antifungal eye drop.\u00a0<\/b><\/p>\n<p>In some cases, antifungal tablets or eye injections of medication will be used as well. Your eye doctor may also prescribe oral pain medication to help relieve the uncomfortable symptoms.<\/p>\n<p>Once the infection has cleared, your eye doctor may prescribe an anti-inflammatory or steroid eye drop to reduce inflammation and decrease your risk of corneal scarring.<\/p>\n<h3><b>Will I need a corneal transplant?<\/b><\/h3>\n<p>A corneal transplant is a surgical procedure that is performed in severe cases, when a scar develops on the cornea and vision is permanently impaired.<\/p>\n<p>A corneal transplant may also be recommended if the corneal ulcer is unresponsive to traditional treatment methods.<\/p>\n<p>With a new clear cornea, vision can be restored.<\/p>\n<h2><b>Preventing corneal ulcers<\/b><\/h2>\n<p><i>The following factors can increase your risk of developing a corneal ulcer:<\/i><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Expired, damaged, or dirty contact lenses<\/li>\n<li style=\"font-weight: 400;\">Misuse of steroid eye drops<\/li>\n<li style=\"font-weight: 400;\">Severe dry eyes<\/li>\n<li style=\"font-weight: 400;\">Corneal injury or chemical burn<\/li>\n<li style=\"font-weight: 400;\">Cold sores, chicken pox, or shingles<\/li>\n<\/ul>\n<p>The most effective way to reduce your risk of developing a corneal ulcer is to seek immediate treatment for an eye infection, injury or severe dry eyes.<\/p>\n<p><em>It is also advisable to practice the following eye health and safety guidelines:<\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Never sleep in your contact lenses.<\/li>\n<li style=\"font-weight: 400;\">Always wash your hands before touching your eyes.<\/li>\n<li style=\"font-weight: 400;\">Always disinfect your contact lenses before inserting and removing them.<\/li>\n<li style=\"font-weight: 400;\">If you feel something in your eye, try to flush it out with sterile saline or contact lens solution\u2014 if you cannot flush it out, contact your eye doctor.<\/li>\n<\/ul>\n<p><strong>LEARN MORE:\u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/\">\u00a0Guide to Corneal Diseases<\/a><\/strong><\/p>\n<p><b>If you think you may have a corneal ulcer, it is important to <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">seek immediate medical care<\/a>.\u00a0<\/b><\/p>\n<p><i>While corneal ulcers are treatable, they can cause vision problems and should be examined early on to prevent permanent corneal damage or vision loss.<\/i><b>\u00a0<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is a corneal ulcer? The cornea is the translucent, outermost layer of the eye that covers the pupil and iris. The cornea plays a<\/p>\n","protected":false},"author":4,"featured_media":8861,"parent":20099,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[84,229,433,437,321,299],"class_list":["post-8860","page","type-page","status-publish","has-post-thumbnail","hentry","tag-adults","tag-contact-lenses","tag-corneal-abrasion","tag-corneal-ulcer","tag-eye-emergency","tag-vision-loss"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Corneal Ulcers - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-ulcers-keratitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Corneal Ulcers - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"What is a corneal ulcer? 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