**Question:** Initial treatment for perforated corneal ulcer is: March 2009

**Core Concept:** Perforated corneal ulcer is a severe form of corneal ulcer that involves the penetration of the cornea, leading to potential complications and vision impairment. The primary aim of treatment is to prevent infection, control pain, and preserve vision.

**Why the Correct Answer is Right:**

The correct treatment option for perforated corneal ulcer depends on the extent of the perforation and the severity of the infection. In this context, the correct answer should involve the use of broad-spectrum antibiotics and pain relief medication.

**Why Each Wrong Option is Incorrect:**

A. This option is incorrect because it does not address the primary goals of treating a perforated corneal ulcer: controlling infection, alleviating pain, and preserving vision.
B. Although pain relief is essential in managing perforated corneal ulcers, this option does not address the infection control aspect, which is crucial for preventing complications.
C. This option is incorrect as it only addresses pain relief but not the infection control aspect required for a perforated corneal ulcer.
D. This option addresses pain relief but does not address the infection control aspect required for a perforated corneal ulcer.

**Clinical Pearl / High-Yield Fact:**

In treating a perforated corneal ulcer, a combination of broad-spectrum antibiotics and pain relief medication is essential. This ensures that both the infection is controlled and pain is alleviated, thus preventing complications and preserving vision.

**Correct Answer:**

D. Broad-spectrum antibiotics and pain relief medication should be administered for the initial management of perforated corneal ulcers.