Loss of corneal epithelium and potentially deeper layers (stroma, Descemet's membrane). Causes include trauma (most common), foreign bodies, entropion, and secondary infection. Simple superficial ulcers heal in 5–7 days. Complicated ulcers (infected, deep, melting) are emergencies. Pseudomonas and fungal (Aspergillus, Fusarium) infections can cause rapid corneal melting (keratomalacia) and perforation within hours to days.
Blepharospasm; epiphora (tearing); photophobia; corneal cloudiness; visible corneal defect (may need fluorescein stain); yellow/green discharge if infected; 'melting' appearance with gelatinous corneal surface (EMERGENCY); hypopyon (pus in anterior chamber); corneal vascularization in chronic cases; descemetocele (deep ulcer with only Descemet's membrane remaining; impending perforation)
Loss of corneal epithelium and potentially deeper layers (stroma, Descemet's membrane). Causes include trauma (most common), foreign bodies, entropion, and secondary infection. Simple superficial ulcers heal in 5–7 days. Complicated ulcers (infected, deep, melting) are emergencies. Pseudomonas and fungal (Aspergillus, Fusarium) infections can cause rapid corneal melting (keratomalacia) and perforation within hours to days.
Blepharospasm; epiphora (tearing); photophobia; corneal cloudiness; visible corneal defect (may need fluorescein stain); yellow/green discharge if infected; 'melting' appearance with gelatinous corneal surface (EMERGENCY); hypopyon (pus in anterior chamber); corneal vascularization in chronic cases; descemetocele (deep ulcer with only Descemet's membrane remaining; impending perforation)