An 85-year-old patient presented with a corneal ulcer and exposure keratoconjunctivitis following a lower eyelid biopsy for suspected basal cell carcinoma. The original surgeon had prescribed erythromycin ointment, without resolution of the ulcer. The remainder of her ocular examination was noncontributory. An amniotic membrane was placed with an overlying bandage contact lens; topical antibiotic drops were continued for prophylaxis.
In the photo above, you can see the inferior corneal epithelial defect highlighted with fluorescein staining.
This slit lamp photo above demonstrates healed corneal ulcer following amniotic membrane treatment.