Corneal ulcer

A painful sore that develops on the front surface of your eye, more commonly in contact lens wearers.

What does a corneal ulcer look like?

While you may experience symptoms of a corneal ulcer, it may be too small for you to be able to visibly detect on your eye. Typically, a corneal ulcer looks like a greyish white spot or patch on the clear cornea, the front surface of your eye.

Symptoms

  • Foreign body sensation in your eye 

  • Grey or white spot on the cornea

  • Eye inflammation or redness

  • Eye pain or discomfort

  • Eye discharge

  • Blurred vision

  • Sensitivity to light

You may experience symptoms more like an eye infection before you notice the eye ulcer. If you are experiencing any of these symptoms, please seek care from your optometrist as soon as possible.

Common causes

  • Bacterial infections

  • Viral infections

  • Eye injuries or small scratches on the eye

  • Dry eye syndrome

Contact lens wearers are at a higher risk of developing corneal ulcers, especially if they don’t follow hygiene advice, or over‑wear their contact lenses. In these cases, bacterial infections from the contact lens or their case are the most common cause of corneal ulcers.

Treatment

If you experience any of these symptoms listed above, please seek care from your optometrist as soon as possible.   

Treatment for corneal ulcers usually involves using prescription eye drops to treat the underlying cause. If you’re a contact lens wearer, bring your lenses and storage case with you to your appointment with an optometrist. They will determine and give you instructions on when you can start wearing them again, which is generally after the corneal ulcer has cleared. It’s also a good idea to avoid wearing eye make‑up or touching the eye unnecessarily during treatment. 

If you wear contact lenses, it’s also important to look after your lenses by cleaning them properly, replacing the case regularly, and making sure that you don’t exceed the recommended wearing time. This will help to reduce the chance of developing a corneal ulcer.

Next steps

We want to help you see clearly and keep your eyes healthy for as long as possible. If your optometrist detects any signs of an eye condition during your comprehensive eye exam, they will determine an appropriate management plan that suits your needs.

Book an eye exam

Get answers to your questions

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Reviewed by Dr. Stephanie Kwan

Dr. Stephanie Kwan grew up in Toronto and completed her optometric training at the Illinois College of Optometry in Chicago. She is the optometrist partner at Specsavers Lime Ridge Mall. She is dual licensed and certified in both the United States and Canada to prescribe therapeutic pharmaceutical agents to treat and manage ocular disease. Dr. Kwan is also a Fellow of the American Academy of Optometry.  

Noticed a change in your eyesight?

If you have any concerns about your eye health, contact or visit your local optometrist immediately – even if you do not have an appointment.

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