A 24-year-old man presents with a painful red eye, photophobia and blurred vision. He wears soft contact lenses. Examination shows a corneal ulcer wit...

Question

A 24-year-old man presents with a painful red eye, photophobia and blurred vision. He wears soft contact lenses. Examination shows a corneal ulcer with overlying epithelial defect on fluorescein staining. What is the most appropriate immediate management?

Accepted Answer

Urgent ophthalmology referral and intensive topical fluoroquinolone therapy

Answer

Topical steroid monotherapy

Answer

Oral aciclovir alone

Answer

Observation and lubricating drops

Answer

Topical anaesthetic drops for regular pain relief

au-acem MCQ (SBA): Contact lens-associated corneal ulcer

A 24-year-old man presents with a painful red eye, photophobia and blurred vision. He wears soft contact lenses. Examination shows a corneal ulcer with overlying epithelial defect on fluorescein staining. What is the most appropriate immediate management?