A 22-year-old university student presents with acute onset of severe, unilateral right eye pain, photophobia and decreased vision after sleeping in co...

Question

A 22-year-old university student presents with acute onset of severe, unilateral right eye pain, photophobia and decreased vision after sleeping in contact lenses. Examination shows a corneal opacity and conjunctival injection. What is the most appropriate immediate management?

Accepted Answer

Urgent ophthalmology referral for suspected microbial keratitis

Answer

Start lubricating eye drops and review in a week

Answer

Prescribe topical steroid drops and reassure

Answer

No treatment required; this is typical conjunctivitis

Answer

Advise him to stop contact lenses only

au-amc MCQ (SBA): Microbial keratitis

A 22-year-old university student presents with acute onset of severe, unilateral right eye pain, photophobia and decreased vision after sleeping in contact lenses. Examination shows a corneal opacity and conjunctival injection. What is the most appropriate immediate management?