It’s usually caused by an infection. Nutrition. 2005 May. 215:630-3. Goldman's Cecil Medicine. 24th ed. The prognosis for good vision depends on the extent of infection. Drugs that are usually contraindicated in corneal ulcer are topical corticosteroids' citation needed and aesthetics - these should not be used on any type of corneal ulcer because they prevent healing, may lead to super infection with fungi and other bacteria and will often make the condition much worse. Chlamydia trachomatis can also contribute to development of corneal ulcer. If the erosion goes through the epithelium and stoma to the level of Descemet's membrane, a descemetocele is formed. The physician will first take a complete patient history which can indicate a trauma to the eye.
Practice.atterns in the management of fungal corneal ulcers. The ulcer often appears as a white or dull and greyish spot on the cornea. Not all corneal ulcers are visible without a microscope, however, especially if they are caused by the herpes simplex virus discussed further in the causes section of this article. Medline . The outermost layer is the epithelium.