None, unless rapid access to ophthalmology impossible or advised by ophthalmology
PoM Ofloxacin 0.3% hourly, titrate as per response, minimum final frequency 4 times a day
Cyclopentolate 1% three times a day for one week, if in pain
Advice
Warn contact lens wearers not to discard their lenses or lens cases, but to retain them for culture
Emergency referral to an ophthalmologist
Management Category
Emergency referral to an ophthalmologist
Possible management by Ophthalmologist
Corneal scraping for microscopy, culture and antimicrobial sensitivity
Intensive topical anti-bacterial therapy
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The eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical
decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
The guidelines on the Website were originally adapted from The College of Optometrists’ Clinical Management Guidelines
(CMGs), to incorporate pragmatic experience gained from NHS Grampian’s Eye Health Network. However, this content is currently under review.
The most up-to-date versions of The College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Website provides guidance and related information for the differential diagnosis, possible
management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
Users should note that that the guidance on the Website will not be suitable for every situation and is not intended to be a
substitute for specialist expertise and clinical judgement. Users should also note that this guidance should not be adhered to
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