Ulcer with Lagophthalmos

  • A primary ulcer in the lower 1/3 of the cornea Bell’s phenomenaZ 7th nerve palsy - lower cornea due exposure

  • Symptoms as usual corneal ulcer (decreased of vision is not marked..why?)

  • Signs

    • Incomplete lid closureZ
    • Ulcer in lower 1/3 with straight upper border
  • Treatment

    • Usual Treatment
      • Methyl celluloseZ drops 0.5% several times/day
    • +Treatment of the cause + contact lens CL