A hypopyon corneal ulcer is caused by bacteria like pneumococcus and commonly results from chronic dacryocystitis. It is characterized by a yellowish disc-shaped ulcer, serpiginous ulcer pattern, and violent iridocyclitis that can lead to secondary glaucoma and early perforation. Treatment involves topical antibiotics, cycloplegic drugs, timolol maleate if secondary glaucoma develops, and dacryocystectomy if caused by dacryocystitis.

1. HYPOPYON CORNEAL ULCER
M.V.S.RAGHAVENDRA

2. INTRODUCTION
IT IS ALSO CALLED ULCUS SERPENS
COMMONLY CAUSED BY PNEUMOCOCCUS
SOURCE OF INFECTION:CHRONIC
DACRYOCYSTITIS(Lacrimal sac infection due to
naso lacrimal duct obstruction)
It may also caused by other organisms like
staphylo,strepto,gonococci

3. FACTORS RESPONSIBLE
• VIRULENCE OF BACTERIA
• RESISTANCE OF TISSUES
• MOST COMMONLY SEEN IN
DEBILITATED,ALCOHOLIC

4. MECHANISAM OF HYPOPYON
• CORNEAL ULCER+IRITIS(DUE TO BACTERIAL
TOXINS)
• SEVERE IRITIS CAUSES OUTPORING OF
LEUKOCYTES
• CELLS DEPOSIT TO BOTTOM OF AC TO FORM
HYPOPYON

5. IS IT STERILE?
• YES, THE LEUCOCYTES CAME OUT DUE TO
TOXINS
• SO NO BACTERIA INVOLVED
• SO IT WILL BE RESOLVED WHEN ULCER IS
TREATED

6. CLINICAL FEATURES
• YELLOISH DISC SHAPED ULCER
• SERPINGINOUS ULCER PATERN
• VIOLENT IRIDOCYCLITIS
• SECONDARY GLAUCOMA
• EARLY PERFORATION

7. MANAGEMENT
• TOPICAL ANTIBIOTICS
• CEFAZOLINE FORTIFIED
• TOBRAMYCIN
• CYCLOPLEGIC DRUGS(FOR REDUCE PAIN,AND
BLOOD SUPPLY)
• TIMOLOL MALEATE(SEC.GLAUCOMA)
• DACRYOCYSTECTOMY(IF IT IS DUE TO
DACRYOCYSTITIS)