02/03/2026
One of the most common things we see, an Indolent ulcer. In this first image, the arrows are pointing to non-adherent epithelium. The second picture is after a diamond-burr debridement procedure. In the second image this patient was healed and the blood vessels were beginning to regress. In several weeks, this cornea will look as good as new!
This type of ulcer is also called a “non-healing” ulcer, boxer ulcer, and spontaneous chronic corneal epithelial defect (SCCED). When an ulcer becomes indolent, there is a delay in healing due to poor attachment of the epithelium to underlying stroma, formation of a hyaline, membrane, and other factors. In order to stimulate proper healing, debridement procedures (either a cotton tipped applicator debridement or a diamond-burr debridement) is performed.