This guideline last updated 09/05/2022 10:17:09

Differential diagnosis         

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