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Contact lens red eye — GPhC CRA MCQ

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HardInfectionsContact lens red eyeGPhC CRA

A 19-year-old man asks for chloramphenicol eye drops for conjunctivitis. He wears soft contact lenses and has photophobia and reduced vision in one eye. He has no discharge. What is the most appropriate action?

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Correct answer: C — Refer urgently for assessment of possible keratitis

Contact lens use with photophobia and reduced vision suggests possible microbial keratitis. This is sight-threatening and should not be managed as simple conjunctivitis. The pharmacist should refer urgently and advise avoiding lens wear until assessed.

Reference: NICE CKS; BNF