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Corneal Ulcers Treatment - London

Diagnosis, treatment & management of corneal ulcers

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What are Corneal Ulcers?

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.

Diagnosis, treatment & management

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.

Advanced Technology

Your trusted clinic for corneal ulcer eye treatment in North London.

understanding laser eye surgery technology for 2026

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A private consultation with our ophthalmologist is £250. This excludes any scans required.

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Corneal Ulcer Eye Treatment

SIGNS & TREATMENT

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:

Advanced Diagnostics At My-iClinic

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.

Corneal Ulcer: When to Seek Urgent Care

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
This guide is for information only. Persistent pain, redness, or vision loss requires urgent same-day ophthalmic care. Do not use contact lenses or steroid drops without medical advice.
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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 Boboaca
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Excellent clinic and great service. Recommend.
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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.
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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.
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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.
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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 procedure
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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 surgery
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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!!
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Corneal Ulcer Eye Treatment FAQs

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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Meera Radia

Consultant Ophthalmologist

SPECIALTIES

EDUCATION

  • FRCOphth – Fellow of the Royal College of Ophthalmologists
  • CertLRS – Certificate in Laser and Refractive Surgery, Royal College of Ophthalmologists
  • MBA – awarded a fully funded academic scholarship for postgraduate business studies
  • MBBS (Hons)
  • BSc (Hons)
  • Ophthalmology Specialist Training – North Thames Deanery
  • Advanced Fellowship Training in Medical Retina, Uveitis and Cataract Surgery – Moorfields Eye Hospital, London

RESEARCH

Meera has published and presented research across medical retina, artificial intelligence, ophthalmic imaging, cataract and digital eye care.
Her research has included work on deep-learning systems for the detection of retinopathy of prematurity, artificial-intelligence classification of retinal images, surgical outcomes in macular hole surgery, ophthalmic simulation and the availability of image datasets for anterior-segment artificial intelligence research.
Selected publications include work in the Journal of Cataract & Refractive SurgeryThe Lancet Digital HealthGraefe’s Archive for Clinical and Experimental OphthalmologyInvestigative Ophthalmology & Visual Science and the British Journal of Hospital Medicine.
She was also part of a team awarded a £70,000 Bayer Ophthalmology Research Award for research into artificial intelligence in retinopathy of prematurity.

AFFILIATIONS

  • Royal College of Ophthalmologists
  • European Society of Retina Specialists (EURETINA)
  • European Society of Cataract and Refractive Surgeons (ESCRS)
  • UK & Ireland Society of Cataract and Refractive Surgeons
  • International Ocular Inflammation Society
  • Chair and Lead, North West London Uveitis Network
  • Royal College of Ophthalmologists CESR Pathway Assessor
  • Former Associate College Tutor, Western Eye Hospital, Imperial College Healthcare NHS Trust
  • NHS England Clinical Entrepreneur Programme Fellow
  • Former elected Public Governor, Royal Free London NHS Foundation Trust

Harry Orlans

Consultant and Surgeon

SPECIALTIES

EDUCATION

– BA (Hons) Physiology & Neuroscience, 1st Class, University of Cambridge (2007)
 
– BM BCh Batchelor of Medicine & Batchelor of Surgery with Distinction, University of Oxford (2010)
 
– MA (Cantab), University of Cambridge (2011)
 
– The Crombie Medal, Royal College of Ophthalmologists (2011)
 
– FRCOphth, Royal College of Ophthalmologists (2017)
 
– DPhil (PhD), University of Oxford (2019)
 
– Fellowship in Vitreoretinal Surgery, St Thomas’ Hospital, London (2020-2021)
 
– Fellowship in Vitreoretinal Surgery, Moorfields Eye Hospital, London (2022-2023)
 
– Fellowship in Medical Retina, Moorfields Eye Hospital, London (2023)
 
– AFHEA, Associate Fellow of the Higher Education Academy (2025)
 

LATEST RESEARCH

– MRC/Fight for Sight Clinical Training Research Fellowship (2015)
 
– The Founders Cup and Medal, Oxford Ophthalmological Congress (2018)
 
– MRC Developmental Pathway Funding Scheme (2020)
 
– The Ruskell Medal for Research, The Worshipful Company of Spectacle Makers (2021)
 
Zheng Q, Orlans HO, Staurenghi F, McClements ME, MacLaren RE. Design and Validation of Mirtron-Mediated RNA Interference for Gene Therapy Therapy Methods Mol Biol. 2026; 3023: 195-206.
 
Orlans HO, Yazdouni S, Williamson TH, Wong RS, Laidlaw DAH. A novel post-operative drop regimen reduces risk of ocular hypertension following pars plana vitrectomy. Ophthalmologica. 2023; 246(1):32-38.
 
Azad A, Laidlaw DAH, Orlans HO. Using QR smartphone technology to improve patient communication and information distribution. Eye 2022;26(6):1321-1322.
 
Orlans HO, McClements ME, Barnard AR, et al. Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa. Nat Commun 2021;12:4934.
 
Corazza P, D’Alterio FM, Kabbani J, Alum MMR, Mercuri S, Orlans HO, Younis S. Long-term outcomes of intravitreal anti-VEGF therapies in patients affected by neovascular age-related macular degeneration: a real-life study. BMC Ophthalmol 2021;21:300.
 
Xue K, Jolly JK, Barnard AR… Orlans HO et al. Beneficial effects on vision in patients undergoing retinal gene therapy for choroideremia. Nat Med 2018;24:1507–1512.

AFFILIATIONS

Fellowships and Memberships in Professional Societies
 
– Fellow of the Royal College of Ophthalmologists
 
– Member of the British & Eire Association of Vitreoretinal Surgeons (BEAVRS)
 
– Member of the European Society of Retinal Specialists (Euretina)
 
– Associate Fellow of the Higher Education Academy (Advance HE)