Treatment of corneal ulcer

 Main lines of treatment:

1. Rest To The Eye
2. General Rest
Treatment
3. Local Treatment
4. Non Specific Treatment
5. Specific Treatment
6. Treatment Of Complications
7. Surgical Treatment

Aim Of
Treatment

Promote epithililization
prevent perforation

1-Rest to the eye:

o Bandage
o Hot fomentation

2-General rest: by avoiding cough and nervousness and

straining laxatives and antitussives especially for deep ulcers to
prevent perforation

General treatment : VIT A . C

Anabolics
Tonics
Treatment of any septic focus

3-local treatment:
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 o atropine sulphate{ drops , ointment1%}
o bandage
o local antibiotic{ drops , ointment or sub conj }

4-Non specific treatment:

o cautery: thermal or chemical

Chemical
cauteries

o anabolics
o NSAIDs

5-specific treatment:
Typical Hypopyon
o Antibiotic: (local Ulcer
, systemic or sub conj) e.g.penicillin
o cauterization
+Local and

Herpetic Ulcer

o Antiviral drugs:
ACYCLVIR

IDU

TFT

o Cauterization +Local and

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 o Surgical Keratoplasty

Herpes Zoster Ulcer

o Acyclovir (local systemic)

o Sedation

o Anti-inflammatory +Local and

o Anabolics

o Antibiotic + Corticosteroid Cream For Skin lesions

Mooren's Ulcer

o Very Resistant Ulcer

Contraindication To Use Steroids In It (steroids may be used)

o Cauterizaion
+Local and
o Radiotherapy

Acanthoameba
Ulcer
o Brolene Ointment

o Neomycin (eye drops)

o Oral Itroconazole

o Honey +Local and

o Betadine 2.5%

Mycotic ulcer
Nystatin
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 Amphoticirin B

Fluconazole

+Local and

6- treatment of complication:

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 & continue
atropine

Combined glaucoma op. + PKP

7-surgical treatment:
-Cautery: thermal or chemical
-Conj flap
-Aminiotic membrane
-Cyanoadhesive substance(glue)

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 -Keratoplasty
-Keratoprothesis(insertion of artificial lenticule)
-tarsoraphy

N.B: avoid corticosteroids in corneal ulcer

except :
mooren's ulcer

phlyc. Ulcer

allergic ulcer

herpitic stromal keratitis {in absence of

epithelial defect}

n.b.this file is only abasic outline of the treatment of corneal ulcer and you can
whatever you want to it to have an outstanding view about the topic

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