This guideline last updated 07/05/2022 9:30:09

Differential diagnosis

• Corneal infiltrative lesions
• Acanthamoeba keratitis

Possible management by Optometrist

Treatment

• None

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-fungal therapy