Doctor insights on:
Wearing Contacts After Corneal Ulcer
My doctor said my corneal ulcer was healed & can go back wearing contacts but when I go back to wearing contacts, it get red again. What possible reason?
Recurrence?: You could have a recurrence of the ulcer or you may need to decrease your wear time. I would make a appointment asap with your eye doctor to rule out ulcer which is a serious condition. ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
Increased: The annual rate of corneal ulcers related to contact lens use is 0.04% (4/10, 000) with daily wear lenses, and 0.21% (21/10, 000) with extended wear lenses. If you sleep in our lenses, no matter what brand, you are at 40 times greater risk of serious corneal ulcer. Patient can get corneal barasion, feels like sand in the eye. Corneal ulcer usually feels the same but with more pain. ...Read more
With advice: A corneal ulcer is a patch of bacterial growth on the surface of the eye, most commonly underneath a contact lens which makes a terrific incubation chamber. If you suspect this, take out the lens and see your ophthalmologist right away as you will need antibiotics and follow up. You can go back to contacts when it is healed; let your ophthalmologist tell you when that has occurred. ...Read more
Not good: A corneal ulcer is a patch of bacterial growth on the surface of the eye, most commonly underneath a contact lens which makes a terrific incubation chamber. If you suspect this, take out the lens and see your ophthalmologist right away as you will need antibiotics and follow up. ...Read more
Can be a problem: If the ulcer is treated properly it should heal nicely. The only long term effects come about if the ulcer was dead center in which case the vision will be disturbed. If off to the side, then you should have no problems. You can wear contact lenses after healing but keep to the cleaning and replacement schedule to prevent ulcer formation. ...Read more
A tiny white dot on the cornea, doesn't hurt at all but I can feel it there. I wear contacts & failed to remove it for a few days. Is it corneal ulcer?
Told yesterday I have corneal ulcer from contacts. Tiny white spot not on iris. Treating with drops. Now have stye on same eye on bottom lid. Worry?
Ulcer is serious: A corneal ulcer can be a potentially sight-threatening problem and should be considered as a serious eye infection. Stop the contact lenses and follow your Eye M.D.'s treatment recommendations exactly. The stye is pretty much self-limited, and will be effectively treated with the antibiotic drops you are most likely using for the corneal ulcer. Also do hot compresses to the lids four times a day. ...Read more
Probably: Most corneal ulcers occur underneath an overused contact lens. You need this treated as soon as possible and this can be started in an emergency room. All ophthalmologists will see a patient with a new, red eye the same day so if this is a weekday, go there immediately. ...Read more
If it is a traumatic ulcer from direct trauma 2 the cornea and not infective, I would add tobramycin/stearoid oint and patch over nite.
Then tobra/stearoid 4-5x/day. Oint and patch @ nite.
Continue untill gone, stop patch when feels good but oint @ nite.
B sure to have opthalmology look at it before rx
his/her rx may be different than mine. ...Read more
Several days: If the ulcer is being properly treated with antibiotics, then your ulcer should rapidly heal. Keep the contact lens out during this time. I assume you are being monitored by an ophthalmologist. ...Read more
Usually rapidly: Corneal ulcer, an infected spot on the cornea, is treated with antibiotics which penetrate directly into the infected spot. Response is rapid and most heal by 2-4 days. However, if the ulcer is near the center (fixation) there may be long term changes in the vision. Ask your ophthalmologist what you prognosis is for this possibility. ...Read more
Yes: You can if they are new, the correct fit, and you have been examined by your eye doctor. It may be possible the ulcer left damage to the cornea and you will not be able to wear them. It is possible the contacts led to the ulcer, make sure they are the proper fit, you are taking care of them as instructed and do not sleep in them. ...Read more
Depends: On many factors like the type of ulcer, where the ulcer is, etc. Corneal ulcers can be potentially blinding and should be treated preferably by a corneal specialist. ...Read more
Depends: If you have a healed small peripheral corneal ulcer that is well healed yes. But if the scar is where the flap is made and is involved more than 75 microns of superficial cornea then most surgeon prefer to do prk so the flap does not become irregular or button holed. That is true even with femtosecond laser flap maker. ...Read more
Yes: As long as the surface of the cornea (epithelium) is healed, and you have finished your treatment, contact wear is fine. ...Read more
Varies: Based on the microbe causing the ulcer, the size, the location and depth of involvement. The range is days to several months. Also, recovery of what aspect? Treating the ulcer can be considered recovery, but if left over scar is in the center of your the cornea, the vision doesn't necessarily recover. Too many variables, best to discuss with your ophthalmologist. ...Read more
Corneal infection: The cornea is the clear window in the front of your eye. Your tears and the surface cells of the cornea, or epithelium, normally protect the cornea from infection. When these protective layers are compromised, bacteria can enter the stroma, or core layer of the cornea, and cause vision-threatening infection. Commonest cause: misuse of soft contact lenses (poor care hygiene, overwear). ...Read more
Yes: A corneal ulcer causes a significant amount of inflammation and is a very serious ocular diagnosis. Treatment is imperative to limit the destruction of the corneal tissues, which can cause vision loss. The redness you see is due to the inflammatory response, which causes the adjacent blood vessels to dilate & the tissues to swell. The pain is due to the exposure of corneal nerves & tissue destruct ...Read more
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