Sunday, February 28, 2010

corneal ulcer

Question
about 40 days ago i was diagnosed with corneal ulcer and my doctor told me to use moxifloxocin every 2 hours and tobramycin every 4 hours. it was healed he said but i was experiencing blurriness in the right eye and he did my refraction and told me that my eyesight is still the same its just that the ulcer is in the center thats why its blurry and it will take a long time for the ulcer to retract and then you will have your 100% vision back, but about 9 days ago my bottom half of the right eye went red but no pain or discharge. he prescribed me blethamide eye drops for 5 days and still it didn't work so then he prescribed me some anithistamine plus phenylephrine drops to put in 4 times a day. it still didn't get better so today he told me to start moxifloxocin again 5 times a day and also put in acyclovir eye ointment 4 times a day.... i am very concerned about my eye, especially the redness and the blurred vision. also he told me never to wear contacts. plz tell me how long will my eyes take to be normal again and is this the right treatment?


Answer
If you are a contact lens wearer, I assume the corneal ulcer came from sleeping with your contact lenses which is a loud NO-NO. If he presribed Acycolvir he must be suspicious of a viral infection, possibly herpes simplex, and not an ulcer, which is a bacterial infection, The blurry vision you describe may indeed be a result of the scarring or corneal edema, either epithelial or stromal for which the treatment is different.  My suggestion if you are not healing properly is to consult a corneal specialist for an opinion