Ocular lubricants for tear deficiency/instability related symptoms (drops for use during the day, unmedicated ointment for use at bedtime)
Scleral therapeutic contact lens
to prevent desiccation by maintaining a fluid layer beneath the lens
to prevent trauma from keratinised lids
Advice
Some forms of conjunctival scarring can lead to severe exposure keratopathy and loss of vision. These forms are usually autoimmune in nature and require immunosuppression to prevent progression
Other forms are relatively mild and require observation but not direct intervention
Management Category
Normally no referral for mild scarring resulting from minor trauma or surgery
Urgent referral (within one week) if cicatrising conjunctivitis disease is suspected
Possible management by Ophthalmologist
Topical and/or systemic immunosuppression if autoimmune aetiology
Mucous membrane graft
Amniotic membrane transplantation
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