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In corneal ulcer (clean cut,no foreign body,epithelial defect) do you advice the patient to use an eye patch till healing is complete(3 days minimum)?

After applying proper antibiotics,central defect more than3mm

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Question added by Sarah Alaggan , Ophthalmology Resident , Al Tayseer Specialized Clinics
Date Posted: 2017/01/21

After applying proper antibiotics, central defect more than 3mm

ABDULMONEM  ASKAR
by ABDULMONEM ASKAR , ophthalmologist , Prince mansour military hospital

I NOT ADVICED TO PATCH THE EYE , I am afraid of aditional infection with anirobic bacteria , otherwise adviced to use proper antibiotics , plastic eye sheild , cyclopentolate eye drops , and ointement at night .

Vladimyr Villarreal
by Vladimyr Villarreal , Medical Surgeon Chief , Hospital Nuestra Señora de la Luz

If it's not deep , no patch , because in can get a fungus ulcer also, wich will complicate more the case, just antibiotics and lubrication will do just fine.

Ermanno Scerrati
by Ermanno Scerrati , Consultant Ophthalmology , Care UK

It depends on how much the corneal ulcer is deep. In case of very deep ulcer the patient complains strong pain, brightness and watery eye, I suggest the occlusion by patch, antibiotic ointment and cyclopentolate then.

If the ulcer it's not deep no patch antibiotic drop and cyclopentolate during the day and antibiotic ointment in the night

Myriam Ben Salem Habchi
by Myriam Ben Salem Habchi , senior specialist registrar , hedi raies national institute of ophtalmology

eye patch are not necessary, to my knowledge no study had shown a superiority of eye patches to accelerate healing versus patients without eye patches. 

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