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Looks like a corneal ulcer with impending perforation. Could loose the eye in less than 24 hrs even with intensive treatment. Consider a tertiery care center with a cornea specialist, such as the Kellogg Eye Center in Ann Arbor ASAP, if your brother is in Michigan also. If you need a name, PM me. Good luck.
Charles
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"Igneous Aquam et Laudi semper"
Carl Muckley
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