Infection following superficial trauma/abrasion of skin
Possible management by Optometrist
Treatment
Do not syringe or probe
Co-manage with GP patients with associated pre-septal cellulitis but systemically well
POM Co-amoxiclav 500/125 mg every 8 hours for 7 days then review
If allergic to penicillin, then POM Erythromycin 500 mg 4 times a day for 5–7 days then review.
Advice
Hospital admission is required if patient is febrile and/or systemically unwell or if an abscess has developed (i.e. pointing on surface)
Management Category
Urgently refer (same day)
All children
Severe cases in adults
Refer within one week, milder cases not responsive to systemic antibiotic within 7 days
Chronic cases without inflammation
May respond to hot compresses/massage
Only require referral if recurrent episodes
Possible management by Ophthalmologist
Incision and drainage where appropriate
Systemic (including parenteral) antibiotics
Follow-up may include investigation and surgical intervention for nasolacrimal duct obstruction
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