A 30-year-old woman presents with a one-day history of a red, painful eye and blurred vision. Examination shows a corneal ulcer with fluorescein uptak...

Question

A 30-year-old woman presents with a one-day history of a red, painful eye and blurred vision. Examination shows a corneal ulcer with fluorescein uptake. According to NICE guidelines, which management step is essential?

Accepted Answer

Topical broad-spectrum antibiotics and urgent ophthalmology referral

Answer

Start topical steroids immediately

Answer

Immediate corneal transplant

Answer

Oral aciclovir only

Answer

Admit for intravenous antibiotics in all cases

ENT & Ophthalmology — UKMLA MCQ

A 30-year-old woman presents with a one-day history of a red, painful eye and blurred vision. Examination shows a corneal ulcer with fluorescein uptake. According to NICE guidelines, which management step is essential?