Advanced Practice: Beyond the Corneal Abrasion
Utmost importance to determine cause of corneal ulcer (i.e. prolonged contact lense use, trauma, foreign bodies, chemicals, etc) and remove offending agents
Typically round, white lesions that can be identified by the naked eye with pen light but can also be visualized on fluorescein staining. Sometimes may be larger lesions.
Remove offending agent
Broad spectrum topical antibiotic application +/- microbiological investigation
- Typically q 1 hour antibiotics drops
Optho consult and close follow up
Can lead to corneal scarring causing visual impairment and even blindness!