Other corneal dystrophies with epithelial manifestations
Contact lens-related epithelial conditions
Possible management by Optometrist
Treatment
Regular ocular lubrication (drops for use during the day, unmedicated ointment for use at bedtime)
Should be continued for at least 3 months from date of last recurrence
Antibiotic ointment
Ask if allergic to Chloramphenicol
If not, supply Chloramphenicol 1% eye ointment 3 times daily for 5 days
If allergic to Chloramphenicol, or pregnant, supply Fusidic acid 1% liquid gel twice a day for 5 days
Cyclopentolate 1% 3 times daily for 5 days
Advice
Review at monthly intervals for three months.
Advise patient to return/seek further help if symptoms persist
Management Category
Normally no referral
If persistent or if defect large and unstable routine referral
Possible management by Ophthalmologist
As above
Excimer laser photo-therapeutic keratectomy
‘Alcohol delamination’
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