A 37-year-old man presents with severe unilateral eye pain, redness, photophobia and decreased vision. He wears contact lenses. Visual acuity is reduc...

Question

A 37-year-old man presents with severe unilateral eye pain, redness, photophobia and decreased vision. He wears contact lenses. Visual acuity is reduced and there is a corneal opacity. What is the MOST appropriate immediate management?

Accepted Answer

Urgent referral to ophthalmology for suspected microbial keratitis and start intensive topical antibiotics

Answer

Start topical corticosteroids only

Answer

Advise lubricating drops and review in 1 week

Answer

Remove contact lenses and observe without treatment

Answer

Start oral antihistamines only

au-acem MCQ (SBA): Microbial keratitis

A 37-year-old man presents with severe unilateral eye pain, redness, photophobia and decreased vision. He wears contact lenses. Visual acuity is reduced and there is a corneal opacity. What is the MOST appropriate immediate management?