A 25-year-old contact lens wearer presents with a painful red eye, photophobia and reduced visual acuity. There is a central corneal opacity visible. ...

Question

A 25-year-old contact lens wearer presents with a painful red eye, photophobia and reduced visual acuity. There is a central corneal opacity visible. What is the most appropriate management?

Accepted Answer

Arrange urgent same-day ophthalmology review for possible microbial keratitis

Answer

Prescribe lubricating eye drops and review in 1 week

Answer

Prescribe topical steroids only

Answer

Treat as conjunctivitis with topical Chloramphenicol and no referral

Answer

Advise stopping contact lenses and observe without referral

uk-plab-1 MCQ (SBA): Microbial keratitis

A 25-year-old contact lens wearer presents with a painful red eye, photophobia and reduced visual acuity. There is a central corneal opacity visible. What is the most appropriate management?