Corneal ulceration is a common problem seen in equine practice. Appropriate and timely treatment is important to ensure the best outcome for the patient. The eye is a delicate and unforgiving organ, requiring measured assessment, diagnosis and treatment to maintain vision and the globe. This article considers corneal anatomy and healing, the diagnostic approach to a painful equine eye, as well as differential diagnoses and treatments for the different corneal ulcerations that might be encountered. A second article, to be published in a future issue of In Practice, will consider the various aetiologies of corneal ulceration, treatments and prognoses.