Corneal ulcer due to a grade 1 chemical burn managed successfully with combined tobramycin 3% and dexamethasone 1% eye drops: A case report and review of the literature

Introduction: Chemical cornea injury is a true ocular emergency and requires immediate intervention. Diagnoses rely on clinical assessment and classification. Treatment is directed to improve the epithelial integrity and stromal stability, reduce undue inflammation and prevent or timely management of complications. Case presentation A 45-year-old male presented with chemical injury to his left eye by a painting agent. He was classified as Grade 1 ocular surface chemical burn with a large central corneal ulcer and spared limbal area and conjunctiva. Treated successfully with the addition of combined dexamethasone and tobramycin eye drops to the standard treatment starting from the second day, with complete healing after 5 days. Conclusion Grade 1 ocular surface chemical burn with a large central corneal ulcer can be treated successfully with the administration of combined dexamethasone and neomycin eye drops.