A 20-year-old woman presents to her GP with a 3-day history of a painful red eye. She describes photophobia and blurred vision in the affected eye. Sh...

Question

A 20-year-old woman presents to her GP with a 3-day history of a painful red eye. She describes photophobia and blurred vision in the affected eye. She wears monthly disposable contact lenses. On examination, there is ciliary injection and a corneal opacity is visible with fluorescein staining. What is the most urgent action?

Accepted Answer

Same-day urgent referral to an ophthalmologist

Answer

Prescribe topical chloramphenicol and review in 2 days

Answer

Advise to stop wearing contact lenses and use artificial tears

Answer

Prescribe topical antiviral

Answer

Perform eye swab for MCS

mrcgp akt MCQ (SBA): Microbial Keratitis