Which of the following is a clinical finding associated with corneal ulceration?

• A. Epiphora
• B. Aqueous flare
• C. Retinal detachment
• D. Lens opacity

Answer: (B)

Corneal ulceration often triggers inflammation that extends into the anterior chamber, causing disruption of the blood-aqueous barrier. This allows protein and inflammatory cells to accumulate in the aqueous humor, producing aqueous flare. In practice, seeing haze and light-scatter in the anterior chamber with a slit-lamp exam is a hallmark of this intraocular inflammation associated with a corneal ulcer.

Epiphora (tearing) is a surface-irritation sign and not specific to anterior chamber inflammation. Retinal detachment involves the posterior segment and does not arise from a corneal ulcer. Lens opacity refers to the crystalline lens and is not an immediate finding of corneal surface disease.