In this VETgirl podcast, we review pigmentary keratopathy in Pugs. About to see a "black" eyeball, and not sure what to do with it? Corneal pigmentation develops secondary to chronic corneal irritation due to primary inflammatory conditions (e.g., pannus), entropion, dry eye, incomplete blinking, aberrant eyelashes, etc. The term pigmentary keratitis implies that there is inflammation component to the primary corneal disease, which leads to pigmentation. While this diagnosis is made frequently in clinical practice, the primary cause of inflammation is not always identified.