Date of last review: Due to be updated

Differential diagnosis       

  • Microbial (bacterial or fungal) keratitis
  • Marginal keratitis
  • Corneal scar
  • Herpes simplex keratitis
  • Adenoviral keratoconjunctivitis

Possible management by Optometrist

Treatment

  • Treat blepharitis if present

Advice

  • Temporarily discontinue lens wear
  • Most signs and symptoms resolve within 48 hours
    • Infiltrates resolve over 2-3 weeks
  • Advise against extended wear
  • Warn about possibility of recurrence
    • If condition recurs, switch to disposable contact lenses

Management Category

  • Normally no referral

Possible management by Ophthalmologist

  • Not normally referred