Date of last review: Due to be updated

Differential diagnosis

  • Contact lens related staining or oedema
  • Corneal erosion
  • Corneal abrasion
  • Corneal ulcer
  • Corneal endothelial dysfunction
  • Rosacea
  • Viral keratoconjunctivitis
  • Dry eye
  • Exposure keratitis

Possible management by Optometrist

Treatment

  • Where possible, withdraw offending medication or preservative
    • Refer to original PoM prescriber for consideration of alternative medication
  • Cold compress
  • Unpreserved tear supplements/ocular lubricants for symptomatic relief
  • PoM If severe, and in consultation with original prescriber, consider a short course of topical steroid
    • Prednisolone 0.5% 4x daily (reduce by 1 drop a week to zero)
    • or Fluorometholone 0.1% eye drops 4x daily (reduce by 1 drop a week to zero)

Advice

  • Advise patient to avoid future use of causative drug or preservative

Management Category

  • Normally no referral, but always inform and be advised by the original prescriber

Possible management by Ophthalmologist

  • As above