Though usually treated on an outpatient basis, you may need to go to the hospital for treatment if an ulcer is severe enough.
Antibiotics, antifungal or antiviral eyedrops are the mainstay of treatment. Sometimes antifungal tablets will be prescribed, or an injection of medication is given near the eye for treatment.
Once any infection has diminished or is gone, then steroid or anti-inflammatory eyedrops may be used to reduce swelling and help prevent scarring. The use of steroid eyedrops is controversial and should only be used under close supervision by your Eye M.D. It is possible that steroid eyedrops may worsen an infection.
Oral pain medication may be prescribed to reduce pain.
If symptoms of corneal ulcer continue after treatment—including pain and redness of the eye, tearing and discharge from the eye and blurry vision—let your ophthalmologist know right away so a different course of treatment can be started promptly.
If corneal ulcers cannot be treated with medication, surgery may be needed to keep your vision. A corneal transplant can replace your damaged cornea with a healthy donor cornea to restore vision.