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Corneal ulcer after eye injury

Q: I am employed as a sales manger of a professionally reputed chemical company. During the course of travel I sustained a scar due to some vegetative material in my left eye on 26th July and this later resulted in a corneal ulcer due to infection inspite of immediate medication by an opthalmologist at Baroda. I took advice of a leading cornea surgeon and now the infection is cured. After continuous medication with antifungal and antibacterial eye drops for 18 days the vision is restored partially in the left eye (which was injured)But it is hazy during the morning and becomes clearer as the day progresses. The eye has also shrunk in size. Please advise. Currently all medications have been discontinued and I have been advised to return to work.

A:It seems that you have a healing ulcer and some element of corneal oedema. In addition to your current treatment, hypertonic saline drops can be added in the day with sodium chloride (NaCl) ointment at bedtime. Lid oedema may be giving the impression that the eye is smaller. This may be due to inflammation or an allergy to one of the drugs. The exact possibility will have to be checked by the treating ophthalmologist.

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