Peripheral Ulcerative Keratitis: A Novel Presentation

Volume 1(1): 1-2 Presentation A 46 year-old man presented to our center with a one week history of foreign body sensation in his left eye and blur. The patient reported no trauma and no inciting event. The patient indicated he was using Besivance eye drops every hour in the left eye for which he was prescribed by his outside provider four days earlier. The patient’s uncorrected visual acuity was 20/20 in the right eye and 20/200 in his left, with no improvement with pinhole. The patient’s pupillary exam was normal and IOP was 7 in both eyes. The patient’s exam was notable for +1 left upper eyelid edema, +2 conjunctival injection, most significantly adjacent to the 10 o’clock position where there was a peripheral 2.5mm circumferential corneal ulcer.