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 examGet answers to your questions
These days, contact lenses are designed to be more comfortable and wearable, but it’s still important to follow the guidance outlined by the manufacturer and delivered by your eyecare professional. There are several habits that contact lens wearers should aim to avoid, and sleeping with your contact lenses in is just one of them.
This is because the tissues of your eyes need oxygen in order to function properly.
When you're awake, your open eye gets oxygen from your tears and the air. When you’re sleeping, your eyelids are closed and therefore less oxygen is transmitted to your cornea from the surrounding air. If you still have your contact lenses in, this prevents even more oxygen from reaching your eye because the plastic acts as a physical barrier. When the eye doesn't receive enough oxygen, a condition called corneal neovascularization may develop where abnormal, small blood vessels grow in the cornea in order to provide oxygen supply to the area.
Aside from this condition, sleeping with your contact lenses in can also lead to eye redness, strain, or pain, and increased sensitivity to light. The lens itself may tighten while on the eye, which can result in small scratches on your cornea (the front surface of your eye). This may increase the risk of an eye infection or inflammation. For these reasons, it's important that you never sleep with your contact lenses in, no matter the type of lens. There are some types of lenses that have been specifically designed for overnight or extended wear, but you should discuss your options with your optometrist to see if they might be right for you.
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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