Managing Corneal Ulcers

 

Managing Corneal Ulcers

if an ulcer doesn’t heal in 5-7 days after routine therapy, refer to an animal eye specialist. Time is of the essence.

 

Routine therapy for corneal ulcers will normally consist of a broad spectrum antibiotic and atropine. If the ulcer is not beginning to heal within 5 to 7 days, it is time to refer to a specialist.

There are several complicating factors depending on the type or severity of the ulcer, and more aggressive medical therapy, even surgical therapy, may need to be pursued.

 

Types of Corneal Ulcers:

  1. Secondary, anatomic
  2. Traumatic
  3. Bacterial
  4. Fungal
  5. Herpetic
 

Ranges in Severity of Corneal Ulcers:

  1. Superficial
  2. Mid-Stromal
  3. Deep
  4. Full-Thickness
 

Complicating Factors:

Brachiocephalic Breeds
(smooshed faces – i.e., Shih Tzu, Lhasa Apso, Pekingese, Pugs, etc.)
Eyelid Disease – Entropion, Distichia
 
Dry Eye (KCS)
 
Bacterial Infections
Melting
Fungal
 
Viral (herpes) Infections
 
 
Iris Prolapse
 
Endothelial Dystrophy
 
 
Laceration/Foreign Body
 
 
 

 

Types of Therapy:

  1. Routine Medical Therapy – for superficial, non-complicated ulcers (either bacterial or traumatic)
  2. Aggressive Medical Therapy – for mid-stromal, deep, melting and/or bacterial ulcers
  3. Specific Medical Therapy – based on ulcer type
  4. Surgical Therapy – medically non-responsive, rapidly progressing ulcers; infected: deep, full thickness ulcers
  5. Specific Type Surgical Treatment – for indolent ulcers, sequestrum, corneal degeneration, and endothilial dystrophy
 
 
 

 

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