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Diagnosis, treatment & management of corneal ulcers
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A corneal ulcer is an open sore that forms on the clear front surface of the eye, the cornea. It’s most often caused by infection, though injury, contact lens misuse, or severe dry eye can also lead to ulceration. When bacteria, viruses, fungi, or parasites invade a damaged area of the cornea, the tissue breaks down and inflammation develops rapidly.
This can cause redness, tearing, light sensitivity, and a sharp, foreign-body sensation. Without prompt treatment, a corneal ulcer can leave permanent scarring and affect vision clarity.
Diagnosing a corneal ulcer involves a thorough slit-lamp examination and specialised corneal staining to highlight any epithelial defects or infiltrates. Your ophthalmologist may also take a small sample for laboratory culture to determine whether the cause is bacterial, viral, fungal, or parasitic which ensures the most effective treatment is used.
Treatment begins immediately to prevent the ulcer from deepening or spreading. Antibiotic, antiviral, or antifungal eye drops are prescribed based on the underlying cause, sometimes as frequently as every hour in the early stages. Severe cases may require steroid drops (once the infection is controlled) to reduce inflammation and protect against scarring. Pain relief, lubricating drops, and protective eye shields are also used to promote healing.
In advanced or non-healing ulcers, a corneal transplant may be recommended to restore transparency and protect vision.
Your trusted clinic for corneal ulcer eye treatment in North London.
A private consultation with our ophthalmologist is £250. This excludes any scans required.
This includes:
Corneal ulcers can progress quickly, so recognising the early signs is vital. Symptoms often start with irritation or blurred vision but can escalate within hours. If you notice any of the following, seek urgent ophthalmic care:
A sudden onset of eye pain, redness, or a gritty, burning sensation can be an early warning of a corneal ulcer. These symptoms may indicate infection or inflammation that requires prompt treatment to prevent scarring and vision loss. The table below outlines the urgency of different scenarios, their likely causes, and the safest next steps, including when to arrange a same-day consultation and when to seek emergency medical attention.
Use this quick reference to understand possible causes, urgency, and the right next step for corneal pain, redness, or vision loss.
| Scenario | What It Might Be | Risk Level | What To Do Now | Common Tests | Typical Treatments / Outcomes |
|---|---|---|---|---|---|
| Mild irritation, redness, or dryness after contact lens wear | Early corneal abrasion or minor epithelial defect | Low | Stop wearing lenses and book an optometrist or eye clinic check | Fluorescein staining, slit-lamp examination | Lubricating drops, antibiotic prophylaxis if needed |
| Moderate pain, blurred vision, or discharge | Bacterial or viral corneal ulcer | Urgent | Seek same-day ophthalmology review; avoid contact lenses and makeup | Corneal scrape/culture, slit-lamp microscopy, OCT | Intensive antibiotic/antiviral drops; pain relief; daily review |
| Severe pain, hazy cornea, or vision loss | Advanced infectious corneal ulcer or abscess | Emergency | Attend emergency eye hospital immediately; avoid touching or rinsing the eye | Culture, sensitivity testing, anterior segment imaging | Hospital-administered antibiotic/antifungal therapy; possible corneal graft |
| Pain and blurred vision following swimming or extended lens wear | Fungal or acanthamoeba keratitis | Urgent | Seek urgent hospital care; provide contact lens and case for analysis | Corneal scrape, confocal microscopy, microbial culture | Antifungal or anti-parasitic treatment; follow-up for healing |
| Worsening pain after using steroid eye drops | Steroid-aggravated infection (viral/fungal keratitis) | Emergency | Stop steroid drops immediately and attend emergency eye unit | Corneal swab, viral PCR, slit-lamp exam | Specialist treatment plan; antiviral/antifungal therapy |
| Persistent haze or scarring after infection | Corneal opacity or thinning from healed ulcer | Follow-Up | Arrange routine follow-up to assess visual recovery | Visual acuity, corneal topography, OCT | Ongoing lubrication; possible corneal transplant if vision severely reduced |
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I would like to extend my heartfelt thanks to Dr. Bolger for their exceptional care and dedication. Your support has made a meaningful difference, and I truly appreciate everything you’ve done. With All my Love Gabriel BoboacaPosted on Google![]()
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I can’t thank My-iclinic enough, Bola Odufuwa-Bolger and the team she has around her have just been fantastic, I’m over the moon with how my surgery has gone. This has been in the making for the last 5 months so I’m glad we have been able to get the surgery done.Posted on Google![]()
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I have had several consultations and examinations at My I Clinic and have to say that every time, i have experienced excellent levels of care, advice and service. Staff are always really helpful and polite.Posted on Google![]()
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⭐⭐⭐⭐⭐ Outstanding care from start to finish I am writing this review on behalf of Mr. Alan Nathan Gershon (Mr G), whom I care for. At 95 years old, he attended myiClinic London on 12 August 2026 for a YAG laser procedure, which was initially planned for his left eye only. From the moment we arrived, every member of staff was welcoming, kind, respectful, and professional. We were treated with genuine care and dignity throughout our visit. A special thank you goes to Ms. Bola Odufuwa-Bolger, the Clinic Director and Consultant Ophthalmic Surgeon. Her patient-centred approach was exceptional. During the assessment, she carefully discovered that although Mr. G's left eye had the thicker after-cataract, his right eye was also affected. The procedure took much longer than expected, but she remained patient, meticulous, and determined to achieve the best possible outcome. After the procedure, she felt the left eye might need to be redone. However, by the very next day, Mr. G's eyesight had improved remarkably. He now enjoys a renewed lease of vision—he can even read without his prescription glasses, something that has made an enormous difference to his quality of life. We are also incredibly grateful to Catalina Tomulescu, the Ophthalmic Technician, whose kindness and support were wonderful, as well as every member of the team who cared for Mr. G. As his carer, I left feeling humbled by the compassion, respect, and professionalism shown to us. Mr. G is deeply thankful for everything the myiClinic team has done. Thank you all for your outstanding work—please keep doing what you're doing. You have given a 95-year-old gentleman the priceless gift of seeing the world more clearly again.Posted on Google![]()
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I was very impressed by the efficiency, professionalism, and thoroughness of My-iClinic. The staff went out of their way to make me feel comfortable, and to explain each step of the procedurePosted on Google![]()
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Friendly professional staff. Miss Bola Odufuwa explained the procedures to me and I am very happy with the result of my cataract surgeryPosted on Google![]()
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My-iClinic in Whetstone, North London is, quite simply, the best. I went there for a bilateral cataract procedure, and the surgical team's depth of technical expertise, professionalism, care and empathy are all beyond compare. The results speak for themselves, but I will also do so anyway: following the procedure, I now have vision better than at any point in my life to date, even with contacts. All my thanks go to Bola and her team. My advice: if you have vision issues, do not waste your time going anywhere else- go to My-iClinic and say I sent you!!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
A corneal ulcer is an open sore or erosion on the cornea, often caused by an infection, injury, or prolonged contact lens wear. It’s a medical emergency that requires prompt treatment to prevent vision loss.
A corneal ulcer is an open sore or erosion on the cornea, often caused by an infection, injury, or prolonged contact lens wear. It’s a medical emergency that requires prompt treatment to prevent vision loss.
They can develop from bacterial, viral, or fungal infections; particularly in contact lens users or after trauma, chemical exposure, or a scratch that becomes infected. In some cases, autoimmune disorders can also contribute.
Typical signs include redness, severe pain, tearing, light sensitivity, and blurry or cloudy vision. Some people may notice a visible white or grey spot on the cornea or difficulty keeping the eye open.
Treatment depends on the cause. Most patients are prescribed strong antibiotic, antiviral, or antifungal eye drops. Severe cases may require hospital-based therapy or a protective contact lens to aid healing.
Mild ulcers can heal within one to two weeks with early treatment, while deeper or infected ulcers may take longer. Follow-up visits are crucial to monitor healing and prevent scarring that could affect vision.
Yes. Always wash your hands before touching your eyes or contact lenses, replace lenses as recommended, and avoid sleeping in them. Wearing protective eyewear during sports or manual work also helps prevent injuries that could lead to infection.
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