Caution in dry eye/compromised ocular surface if prolonged use planned
If persistent, consider use of sodium cromoglicate 2% eye drops 4 times daily
Low threshold for referral to ophthalmology as significant corneal involvement common
Management Category
Urgent referral (within one week) if there is active limbal or corneal involvement:
Routine referral for PoM for milder cases (without active limbal or corneal involvement)
Possible management by Ophthalmologist
Topical steroids
Mucolytics
Topical immunosuppression
Systemic immunosuppression
Debridement/superficial lamellar keratectomy for corneal plaque/shield ulcer
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